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1985 Silversides Lecture: Unusual Vascular Events in the Territory of the Posterior Cerebral Artery

Published online by Cambridge University Press:  18 September 2015

C.M. Fisher
C.M. Fisher*
Affiliation:
Neurology Service of the Massachusetts General Hospital, Boston, Massachusetts 02114
*
Neurology Service, Massachusetts General Hospital, Fruit Street, Boston, Mass, U.S.A. 02114
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Abstract:

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There is an unusual type of vascular episode in the territory of the posterior cerebral artery which remains relatively unknown. Ten cases are presented in which a posterior cerebral artery deficit developed suddenly in dramatic fashion with headache, visual symptoms, sensory and motor deficits and signs of third nerve involvement. Nine of the patients were female and one was male. Seven were under the age of 33. In all instances there was a permanent neurologic sequela, usually a hemianopia. A similar case was described in 1901. The nature of the underlying process remains obscure, but the evidence favors accompanied migraine in which a particularly severe attack results in permanent damage. The term “catastrophic migraine” is suggested.

Type
Special Features
Information
Canadian Journal of Neurological Sciences , Volume 13 , Issue 1 , February 1986 , pp. 1 - 7
Copyright
Copyright © Canadian Neurological Sciences Federation 1986

References

REFERENCES

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3.Davis-Jones, A, Gregory, MC and Whitty, CWM.Permanent sequelae in the migraine attack. 5th Migraine Symposium Heinemann, London 1973, 25-27.Google Scholar
4.Connor, RCR.Complicated migraine. A study of permanent neurological and visual defects caused by migraine. Lancet 1962; 2:1072-1075.CrossRefGoogle ScholarPubMed