TRANSCRANIAL DOPPLER SONOGRAPHY IN FAMILIAL HEMIPLEGIC MIGRAINE

被引:13
作者
PIERELLI, F [1 ]
PAURI, F [1 ]
CUPINI, LM [1 ]
FIERMONTE, G [1 ]
RIZZO, PA [1 ]
机构
[1] UNIV ROME LA SAPIENZA,IST CLIN MALATTIE NERVOSE & MENTALI,I-00185 ROME,ITALY
关键词
FAMILIAL HEMIPLEGIC MIGRAINE; TRANSCRANIAL DOPPLER SONOGRAPHY;
D O I
10.1046/j.1468-2982.1991.1101029.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A patient affected by familial hemiplegic migraine underwent Transcranial Doppler Sonography twice: the first during a spontaneous attack with right hemiparesis and aphasia, the second during a headache-free period. During the attack the following haemodynamic changes were seen: (a) bilateral increase in the middle cerebral artery and anterior cerebral artery blood flow velocities (this increase was more pronounced on the left side), (b) decreased systo-diastolic ratio and pulsatility index on the right side, (c) increased systo-diastolic ratio and pulsatility index on the left side. Our results indicate that during the attack in this familial hemiplegic migraine patient a diffuse vasoconstriction of the basal cerebral arteries developed. Moreover, Transcranial Doppler Sonography data suggest that a prolonged vasoconstriction of the peripheral arterioles could play a role in determining the neurological symptoms in this syndrome.
引用
收藏
页码:29 / 31
页数:3
相关论文
共 13 条
[1]   A TRANSCRANIAL DOPPLER METHOD IN THE EVALUATION OF CEREBROVASCULAR SPASM [J].
AASLID, R ;
HUBER, P ;
NORNES, H .
NEURORADIOLOGY, 1986, 28 (01) :11-16
[2]   CLUSTER HEADACHE - TRANSCRANIAL DOPPLER ULTRASOUND AND RCBF STUDIES [J].
DAHL, A ;
RUSSELL, D ;
NYBERGHANSEN, R ;
ROOTWELT, K .
CEPHALALGIA, 1990, 10 (02) :87-94
[3]  
DEWITT LD, 1987, STROKE, V22, P31
[4]   FAMILIAL HEMIPLEGIC MIGRAINE - EEG AND CT SCAN STUDY OF 2 CASES [J].
GASTAUT, JL ;
YERMENOS, E ;
BONNEFOY, M ;
CROS, D .
ANNALS OF NEUROLOGY, 1981, 10 (04) :392-395
[5]   INTRACRANIAL HEMODYNAMICS IN CLUSTER HEADACHE [J].
GAWEL, MJ ;
KRAJEWSKI, A .
HEADACHE, 1988, 28 (07) :484-487
[6]  
HANDA N, 1986, ULTRASOUND MED BIOL, V12, P938
[7]   NONINVASIVE EVALUATION OF RENAL-ARTERY STENOSIS AND RENOVASCULAR RESISTANCE - EXPERIMENTAL AND CLINICAL-STUDIES [J].
NORRIS, CS ;
PFEIFFER, JS ;
RITTGERS, SE ;
BARNES, RW .
JOURNAL OF VASCULAR SURGERY, 1984, 1 (01) :192-201
[8]  
SYMONDS C, 1952, T MEDICAL SOC LONDON, V67, P237
[9]   TRANSCRANIAL DOPPLER EVALUATION OF COMMON AND CLASSIC MIGRAINE .2. ULTRASONIC FEATURES DURING ATTACKS [J].
THIE, A ;
FUHLENDORF, A ;
SPITZER, K ;
KUNZE, K .
HEADACHE, 1990, 30 (04) :209-215
[10]   TRANSCRANIAL DOPPLER EVALUATION OF COMMON AND CLASSIC MIGRAINE .1. ULTRASONIC FEATURES DURING THE HEADACHE-FREE PERIOD [J].
THIE, A ;
FUHLENDORF, A ;
SPITZER, K ;
KUNZE, K .
HEADACHE, 1990, 30 (04) :201-208