Basilar-type migraine with coma: case reports and literature review

Pain Med. 2011 Apr;12(4):654-6. doi: 10.1111/j.1526-4637.2011.01080.x. Epub 2011 Apr 4.

Abstract

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.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Anticonvulsants / therapeutic use
  • Antihypertensive Agents / therapeutic use
  • Asian People
  • Coma / drug therapy
  • Coma / etiology*
  • Female
  • Humans
  • Male
  • Migraine with Aura / complications*
  • Migraine with Aura / diagnosis*
  • Migraine with Aura / drug therapy
  • Propranolol / therapeutic use
  • Treatment Outcome
  • Valproic Acid / therapeutic use

Substances

  • Anticonvulsants
  • Antihypertensive Agents
  • Valproic Acid
  • Propranolol