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Vascular Headache: A Presenting Symptom of Multiple Sclerosis

Published online by Cambridge University Press:  18 September 2015

Mark S. Freedman  and
Trevor A. Gray
Mark S. Freedman
Affiliation:
University of Toronto, Department of Neurology, St. Michael's Hospital, Toronto
Trevor A. Gray*
Affiliation:
University of Toronto, Department of Neurology, St. Michael's Hospital, Toronto
*
University of Toronto, Department of Neurology, St. Michael's Hospital, M.S. Clinic, 30 Bond Street, Toronto, Ontario, Canada M5B 1W8
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Abstract:

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Vascular headache of migraine-type may be a presenting symptom of multiple sclerosis (MS), a condition usually not considered in the differential diagnosis of a severe headache accompanied by neurological signs. We reviewed records of 1,113 patients with MS seen from 1967-1987 and found 44 cases whose initial attack or subsequent exacerbations were heralded by a migraine-type headache. Twenty-seven patients had no prior history of migraine, and of these, 12 presented simultaneously with their first headache and MS attack. Twenty-three patients had symptoms of a posterior fossa mass lesion. The significance of these results and possible pathogenesis is discussed.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 16 , Issue 1 , February 1989 , pp. 63 - 66
Copyright
Copyright © Canadian Neurological Sciences Federation 1989

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