Migraine With Aura After Intracranial Endovascular Procedures


Address all correspondence to Dr. R. Beekman, Department of Neurology, St. Elisabeth Hospital, PO Box 90151, 5000 LC Tilburg, The Netherlands.


Objective.—To describe three cases of migraine (two with aura) after an intracranial endovascular procedure.


Results.—One patient had an attack of migraine with prolonged aura after embolization of a dural arteriovenous fistula. Another patient had an attack of migraine with aura (and hemiparesis) after a diagnostic angiogram. The third patient already suffered from migraine with aura and had a migraine attack after embolization of an occipital arteriovenous malformation. A quadrantanopia persisted in this patient. Outcome of the other two patients was good.

Conclusion.—Intracranial endovascular procedures can induce migraine with aura. We could not identify the underlying pathophysiological mechanism, but mechanical, chemical, immunological, or hemodynamic factors could be involved.