American Journal of Psychiatry and Neuroscience

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Cerebellar Infarction Associated with a Patent Foramen Ovale Revealed by Wallenberg Syndrome During a Migraine Attack

Received: 03 August 2016    Accepted: 15 August 2016    Published: 07 September 2016
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Abstract

The occurrence of cerebellar infarction associated with a patent foramen ovale during a migraine attack is rare and ambiguous etiopathogenic explanation. We report the case of a young patient. It was about a 25-years-old, migraine known since age of 8 years, with no particular medical history, admitted to the neurology department of Fann National Teaching Hospital of Dakar for headaches, acute onset of balance and walking disorders in a context of big rotatory dizziness. Neurological examination have objectified a Wallenberg syndrome. The rest of the physical examination was normal. The diagnosis of cerebellar infarction was retained on basis of brain CT and brain MRI. The etiologic test showed patent foramen oval at transoesophageal echocardiography. The diagnosis of migrainous infarction was retained on basis of the young age of the patient, migraine with aura, presence of patent foramen ovale (vascular risk factor etiology?) and lack of any other cause. Patient received anticoagulants and analgesics combined with physical rehabilitation. Outcome was favorable marked by motor recovery. A migrainous infarction, especially cerebellar infarction should be discussed in front of any attack in known migraine with focal neurological signs.

DOI 10.11648/j.ajpn.20160405.12
Published in American Journal of Psychiatry and Neuroscience (Volume 4, Issue 5, September 2016)
Page(s) 76-78
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Infarction, Migraine, PFO, Dakar, Senegal

References
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[5] Beygui F, Labombarda F, Sabatier R, et al. A meta-analysis of randomized trials comparing percutaneous closure of patent foramen oval to medical therapy. ESC congrès 2013; abstract 90273.
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[10] HEADACHE CLASSIFICATION COMMITTEE OF THE INTERNATIONAL HEADACHE SOCIETY. Classification and diagnostic criteria for headache disorders, cranial neuralgias, and facial pain. Cephalalgia 1988; 8 (suppl 7): 1-96.
[11] HOMMA S, SACCO RL. (2005). Patent foramen ovale and stroke. Circulation, 112: 1063-1072.
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[16] Mas JL, Arquizan C, Lamy C, et al. Recurrent cerebrovascular events associated with patent foramen oval, atrial septal aneurysm, or both. N Engl J Med 2001; 345 (24): 1740–6.
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Author Information
  • Department of Neurology, Fann National Teaching Hospital, Dakar, Senegal

  • Department of Neurology, Fann National Teaching Hospital, Dakar, Senegal

  • Department of Medicine, National Hospital, Niamey, Niger

  • Department of Neurology, Fann National Teaching Hospital, Dakar, Senegal

  • Department of Neurology, Fann National Teaching Hospital, Dakar, Senegal

  • Department of Neurology, Gabriel Touré University Hospital, Bamako, Mali

  • Department of Neurology, Fann National Teaching Hospital, Dakar, Senegal

  • Department of Neurology, Fann National Teaching Hospital, Dakar, Senegal

  • Department of Neurology, Fann National Teaching Hospital, Dakar, Senegal

  • Department of Neurology, Fann National Teaching Hospital, Dakar, Senegal

  • Department of Neurology, Fann National Teaching Hospital, Dakar, Senegal

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    Soumaila Boubacar, Ngor Side Diagne, Djibrilla Wazir Ben Adji, Eric Gueumekane Bila Lamou, Christian Madjirabe Ngarndiguina, et al. (2016). Cerebellar Infarction Associated with a Patent Foramen Ovale Revealed by Wallenberg Syndrome During a Migraine Attack. American Journal of Psychiatry and Neuroscience, 4(5), 76-78. https://doi.org/10.11648/j.ajpn.20160405.12

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    ACS Style

    Soumaila Boubacar; Ngor Side Diagne; Djibrilla Wazir Ben Adji; Eric Gueumekane Bila Lamou; Christian Madjirabe Ngarndiguina, et al. Cerebellar Infarction Associated with a Patent Foramen Ovale Revealed by Wallenberg Syndrome During a Migraine Attack. Am. J. Psychiatry Neurosci. 2016, 4(5), 76-78. doi: 10.11648/j.ajpn.20160405.12

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    AMA Style

    Soumaila Boubacar, Ngor Side Diagne, Djibrilla Wazir Ben Adji, Eric Gueumekane Bila Lamou, Christian Madjirabe Ngarndiguina, et al. Cerebellar Infarction Associated with a Patent Foramen Ovale Revealed by Wallenberg Syndrome During a Migraine Attack. Am J Psychiatry Neurosci. 2016;4(5):76-78. doi: 10.11648/j.ajpn.20160405.12

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  • @article{10.11648/j.ajpn.20160405.12,
      author = {Soumaila Boubacar and Ngor Side Diagne and Djibrilla Wazir Ben Adji and Eric Gueumekane Bila Lamou and Christian Madjirabe Ngarndiguina and Youssoufa Maiga and Lala Bouna Seck and Kamadore Touré and Moustapha Ndiaye and Amadou Gallo Diop and Mouhamadou Mansour Ndiaye},
      title = {Cerebellar Infarction Associated with a Patent Foramen Ovale Revealed by Wallenberg Syndrome During a Migraine Attack},
      journal = {American Journal of Psychiatry and Neuroscience},
      volume = {4},
      number = {5},
      pages = {76-78},
      doi = {10.11648/j.ajpn.20160405.12},
      url = {https://doi.org/10.11648/j.ajpn.20160405.12},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ajpn.20160405.12},
      abstract = {The occurrence of cerebellar infarction associated with a patent foramen ovale during a migraine attack is rare and ambiguous etiopathogenic explanation. We report the case of a young patient. It was about a 25-years-old, migraine known since age of 8 years, with no particular medical history, admitted to the neurology department of Fann National Teaching Hospital of Dakar for headaches, acute onset of balance and walking disorders in a context of big rotatory dizziness. Neurological examination have objectified a Wallenberg syndrome. The rest of the physical examination was normal. The diagnosis of cerebellar infarction was retained on basis of brain CT and brain MRI. The etiologic test showed patent foramen oval at transoesophageal echocardiography. The diagnosis of migrainous infarction was retained on basis of the young age of the patient, migraine with aura, presence of patent foramen ovale (vascular risk factor etiology?) and lack of any other cause. Patient received anticoagulants and analgesics combined with physical rehabilitation. Outcome was favorable marked by motor recovery. A migrainous infarction, especially cerebellar infarction should be discussed in front of any attack in known migraine with focal neurological signs.},
     year = {2016}
    }
    

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  • TY  - JOUR
    T1  - Cerebellar Infarction Associated with a Patent Foramen Ovale Revealed by Wallenberg Syndrome During a Migraine Attack
    AU  - Soumaila Boubacar
    AU  - Ngor Side Diagne
    AU  - Djibrilla Wazir Ben Adji
    AU  - Eric Gueumekane Bila Lamou
    AU  - Christian Madjirabe Ngarndiguina
    AU  - Youssoufa Maiga
    AU  - Lala Bouna Seck
    AU  - Kamadore Touré
    AU  - Moustapha Ndiaye
    AU  - Amadou Gallo Diop
    AU  - Mouhamadou Mansour Ndiaye
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    PY  - 2016
    N1  - https://doi.org/10.11648/j.ajpn.20160405.12
    DO  - 10.11648/j.ajpn.20160405.12
    T2  - American Journal of Psychiatry and Neuroscience
    JF  - American Journal of Psychiatry and Neuroscience
    JO  - American Journal of Psychiatry and Neuroscience
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    EP  - 78
    PB  - Science Publishing Group
    SN  - 2330-426X
    UR  - https://doi.org/10.11648/j.ajpn.20160405.12
    AB  - The occurrence of cerebellar infarction associated with a patent foramen ovale during a migraine attack is rare and ambiguous etiopathogenic explanation. We report the case of a young patient. It was about a 25-years-old, migraine known since age of 8 years, with no particular medical history, admitted to the neurology department of Fann National Teaching Hospital of Dakar for headaches, acute onset of balance and walking disorders in a context of big rotatory dizziness. Neurological examination have objectified a Wallenberg syndrome. The rest of the physical examination was normal. The diagnosis of cerebellar infarction was retained on basis of brain CT and brain MRI. The etiologic test showed patent foramen oval at transoesophageal echocardiography. The diagnosis of migrainous infarction was retained on basis of the young age of the patient, migraine with aura, presence of patent foramen ovale (vascular risk factor etiology?) and lack of any other cause. Patient received anticoagulants and analgesics combined with physical rehabilitation. Outcome was favorable marked by motor recovery. A migrainous infarction, especially cerebellar infarction should be discussed in front of any attack in known migraine with focal neurological signs.
    VL  - 4
    IS  - 5
    ER  - 

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