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Current Pain and Headache Reports

, Volume 13, Issue 3, pp 217–220 | Cite as

Basilar-type migraine

  • Robert G. Kaniecki
Article

Abstract

Initially described more than 40 years ago, basilar-type migraine has posed diagnostic and therapeutic dilemmas for medical practitioners. Defined by the coexistence of migraine headache with neurological symptoms emanating from either the brainstem or simultaneously from both cerebral hemispheres, basilar-type migraine has been categorized as “atypical” or “complicated” and has been considered more akin to hemiplegic migraine than to migraine with typical aura. Despite the absence of any data convicting basilar-type migraine as a vasospastic condition, the use of triptans in such patients has been considered prohibited. This review focuses on the diagnosis, clinical presentation, available genetic information, and treatment considerations in patients with basilar-type migraine.

Keywords

Migraine Migraine With Aura International Headache Society Triptan Migraine Without Aura 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References and Recommended Reading

  1. 1.
    Bickerstaff ER: Basilar artery migraine. Lancet 1961, 1:15–17.CrossRefGoogle Scholar
  2. 2.
    Headache Classification Committee of the International Headache Society: The International Classification of Headache Disorders, 2nd ed. Cephalalgia 2004, 24(Suppl 1):9–160.Google Scholar
  3. 3.
    Lapkin ML, Golden GS: Basilar-artery migraine: a review of 30 cases. Am J Dis Child 1978, 132:278–281.PubMedGoogle Scholar
  4. 4.
    Voetsch B, DeWitt D, Pessin M, Caplan L: Basilar artery occlusive disease in the New England Medical Center Posterior Circulation Registry. Arch Neurol 2004, 61:496–504.PubMedCrossRefGoogle Scholar
  5. 5.
    Kaniecki RG: The lack of specificity of International Headache Society criteria in distinguishing basilar migraine from migraine with typical aura. Headache 2003, 43:510.Google Scholar
  6. 6.
    Kirchmann M, Thomsen L, Olesen J: Basilar-type migraine: clinical, epidemiologic, and genetic features. Neurology 2006, 66:880–886.PubMedCrossRefGoogle Scholar
  7. 7.
    Kirchmann M: Migraine with aura: new understanding from clinical epidemiologic studies. Curr Opin Neurol 2006, 19:286–293.PubMedCrossRefGoogle Scholar
  8. 8.
    Russell MB, Olesen J: Increased familial risk and evidence of genetic factor in migraine. BMJ 1995, 311:541–544.PubMedGoogle Scholar
  9. 9.
    Ulrich V, Gervil M, Kyvik K, et al.: Evidence of a genetic factor in migraine with aura: a population-based Danish twin study. Ann Neurol 1999, 45:242–246.PubMedCrossRefGoogle Scholar
  10. 10.
    Ophoff RA, Terwindt GM, Vergouwe M: Familial hemiplegic migraine and episodic ataxia type-2 are caused by mutations in the Ca2+ channel gene CACNL1A4. Cell 1996, 87:543–552.PubMedCrossRefGoogle Scholar
  11. 11.
    DeFusco M, Marconi R, Silvestri L: Haploinsufficiency of ATP1A2 encoding the Na+/K+ puma alpha2 subunit associated with familial hemiplegic migraine type 2. Nat Genet 2003, 33:192–196.CrossRefGoogle Scholar
  12. 12.
    Dichgans M, Freilinger T, Eckstein G: Mutation in the neuronal voltage-gated sodium channel SCN1A in familial hemiplegic migraine. Lancet 2005, 366:371–377.PubMedCrossRefGoogle Scholar
  13. 13.
    Ambrosisni A, D’Onofrio M, Grieco G, et al.: Familial basilar migraine associated with a new mutation in the ATP1A2 gene. Neurology 2005, 65:1826–1828.CrossRefGoogle Scholar
  14. 14.
    Haan J, Terwindt G, Ophoff R, et al.: Is familial hemiplegic migraine a hereditary form of basilar migraine? Cephalalgia 1995, 15:477–481.PubMedCrossRefGoogle Scholar
  15. 15.
    Thomsen L, Eriksen M, Roemer S, et al.: A population-based study of familial hemiplegic migraine suggests revised diagnostic criteria. Brain 2002, 125:1379–1391.PubMedCrossRefGoogle Scholar
  16. 16.
    Thomsen L, Ostergaard E, Olesen J, Russell M: Evidence for a separate type of migraine with aura: sporadic hemiplegic migraine. Neurology 2003, 60:595–601.PubMedGoogle Scholar
  17. 17.
    Klapper J, Mathew N, Nett R: Triptans in the treatment of basilar migraine and migraine with prolonged aura. Headache 2001, 41:981–984.PubMedCrossRefGoogle Scholar
  18. 18.
    Lewis D, Paradiso E: A double-blind dose comparison study of topiramate for prophylaxis of basilar-type migraine in children: a pilot study. Headache 2007, 47:1409–1417.PubMedGoogle Scholar
  19. 19.
    Artto V, Nissil M, Wessman M, et al.: Treatment of hemiplegic migraine with triptans. Eur J Neurol 2007, 14:1053–1056.PubMedCrossRefGoogle Scholar
  20. 20.
    Hockaday J: Basilar migraine in childhood. Dev Med Child Neurol 1979, 21:455–463.PubMedCrossRefGoogle Scholar
  21. 21.
    Kuhn W, Kuhn S, Daylida L: Basilar migraine. Eur J Emerg Med 1997, 4:33–38.PubMedGoogle Scholar
  22. 22.
    Sturzenegger M, Meienberg O: Basilar artery migraine: a follow-up study of 82 cases. Headache 1985, 25:408–415.PubMedGoogle Scholar

Copyright information

© Current Medicine Group, LLC 2009

Authors and Affiliations

  1. 1.The Headache CenterUniversity of PittsburghPittsburghUSA

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