Basilar-Type Migraine with Coma: Case Reports and Literature Review


Jiying Zhou, PhD, Department of Neurology, The First Affiliated Hospital of Chongqing Medical University, 1st You Yi Road, Chongqing 400016, China. Tel: +86 23 89012558; Fax: +86 23 68811487; E-mail:


Background.  Basilar-type migraine (BTM) is a rare subtype of migraine with aura. Impaired consciousness or coma can occur in such patients.

Aim.  To report two Chinese adolescent patients diagnosed as BTM with coma.

Materials and Methods.  We describe two Chinese adolescent patients diagnosed with BTM with coma. Literatures of migraineurs presented with coma were reviewed.

Results.  The two patients are partially resolved with prophylactic propranolol or valproate therapy.

Conclusion.  BTM should be considered for any patient presenting with migraine and coma. Adequate care should be taken to prevent migraine attacks.