05-22-2009, 04:33 PM
Differntiating points regradring VB migraine and hemiperisis.
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Vertibro -Basilar migraine - snsb
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05-22-2009, 04:40 PM
The Headache Classification Committee of the International Headache Society has proposed the following diagnostic criteria for basilar migraine:2
1. The patient must have two attacks that have three of the following four characteristics: A. One or more reversible aura symptoms indicating cortical or brainstem dysfunction that -- B. Develop gradually over more than four minutes C. There is a limit to each aura of 60 minutes D. A headache that must occur within 60 minutes of the end of the aura, if it occurs at all. 2. The patient must demonstrate two or more aura symptoms of the following types: A. Visual symptoms in both the temporal and nasal fields or both eyes B. Dysarthria C. Vertigo D. Tinnitus E. Decreased hearing F. Double vision G. Ataxia H. Bilateral paresthesias I. Bilateral paresis J. Decreased levels of consciousness Basilar migraines may be precipitated or exacerbated by ingestion of alcohol.4 Complications of basilar migraines include the remote possibility of a basilar artery infarction. Cases of basilar artery infarction secondary to basilar migraines are documented in current literature. Infarctions are well-recognized complications of the more common forms of migraine and are among the most frequent causes of strokes in young adults. Patients with basilar migraines should be screened for the presence of additional stroke risk factors such as a family history of cerebrovascular accident, smoking, and the use of oral contraceptives.8
05-22-2009, 04:54 PM
J/K, LOL
ok, there are Vertebro-basilar Atherothrombotic Disease and Basilar Migraine. which one did you mean?
05-22-2009, 05:33 PM
sorry,
so besides hammer the tx is like for classic migraine, except that triptans, ergotamines and other vasoconstrictors are contraindicated. b-blockers and verapamil are used to prevent bm |
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