Dysmetropsia and Cotard's syndrome due to migrainous infarction – or not?. (August 2014)

• Record Type: Journal Article
• Authors: Parks, Natalie E; Rigby, Heather B; Gubitz, Gordon J; Shankar, Jai J; Purdy, R Allan
• Is Part Of: Cephalalgia. Volume 34:Number 9(2014)
• Page Start: 717
• Page End: 720
• Publication Date: 2014-08
• Subjects: Cortical spreading depression -- Cotard's syndrome -- dysmetropsia -- migrainous infarction -- cortical laminar necrosis -- persistent aura; Headache -- Periodicals; 616.8491
• DOI: 10.1177/0333102414520765
• Languages: English
• ISSNs: 0333-1024

Abstract

Introduction: Migrainous infarction accounts for 12.8% of ischemic strokes of unusual etiology. Case report: A 59-year-old woman with longstanding migraine with aura experienced what appeared to be migrainous infarction characterized by dysmetropsia and transient Cotard's syndrome. Imaging demonstrated right temporal-parietal-occipital changes with apparent cortical laminar necrosis. Conclusion: The spectrum of the pathophysiology of migrainous infarction has not been established; however, cortical spreading depression may explain the appearance of imaging findings that do not obey a vascular territory.