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Reversible Imaging Abnormalities Consistent With CSD During Migraine Without Aura Attack


  • Conflict of Interest: None

F.D. Chalaupka, Department of Neurology and Neurophysiology, “S. Maria del Prato” Hospital, Via Bagnols sur Cèze 3 32032 Feltre (BL)—Italy.


An 18-year-old man with a history of migraine without aura and normal neurological examination carried out a cerebral CT scan during a spontaneous typical migraine attack. While the CT scan demonstrated left temporal-parietal-occipital low attenuation, a brain magnetic resonance imaging, performed 5 days later, did not show any lesions.

Based on this evidence, we can speculate that the dysfunction of the cerebrovascular system, either in the cerebral cortex or in the subcortical regions, is an important mechanism in the pathophysiology of migraine.