Hostname: page-component-586b7cd67f-vdxz6 Total loading time: 0 Render date: 2024-11-27T23:01:16.407Z Has data issue: false hasContentIssue false
  • English
  • Français

Basilar arterial migraine—a substrate for non-hypotensive syncope

Published online by Cambridge University Press:  19 August 2008

Adrian M. Moran ,
Lucy W. Arnold  and
J. Philip Saul
Adrian M. Moran*
Affiliation:
From the Department of Cardiology, Children's Hospital and the Department of Pediatrics, Harvard Medica1 School, Boston
Lucy W. Arnold
Affiliation:
From the Department of Cardiology, Children's Hospital and the Department of Pediatrics, Harvard Medica1 School, Boston
J. Philip Saul
Affiliation:
From the Department of Cardiology, Children's Hospital and the Department of Pediatrics, Harvard Medica1 School, Boston
*
Dr. Adrian M Moran, Children's Hospital, Department of Cardiology, 300 Longwood Avenue, Boston, MA 02115. USA. Tel. 617-735-6432; Fax. 617-735-7513.
Get access Rights & Permissions [Opens in a new window]

Abstract

Syncope occurring simultaneously with documented normal blood pressures has been termed “psychogenic” in some patients. Two cases of basilar arterial migraine are presented, both with a diagnosis of syncope and documented normal blood pressures during the syncopal episodes. These findings highlight that syncope seen in the setting of basilar migraine is a variant from the typical form of neurally mediated syncope or cardiac arrhythmia. There is a need to consider the diagnosis of migraine when normal blood pressures and heart rates are recorded during such syncopal episodes.

Keywords

Basilar arterial migrainesyncopenon-hypotensivepediatrics
Type
Brief Reports
Information
Cardiology in the Young , Volume 6 , Issue 2 , April 1996 , pp. 184 - 186
Copyright
Copyright © Cambridge University Press 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Grubb, BP, Gerard, G, Wolfe, DA, Samoil, D, Davenport, CW, Homan, RW, Temesy-Armos, P. Syncope and seizures of psychogenic origin: identification with head-upright tilt table testing. Clin Cardiol 1992; 15: 839–842.CrossRefGoogle ScholarPubMed
2.Hockaday, JM, Barlow, CF. Headache in children. In: Olsen, J, Tfelt-Hansen, P, Welch, KMA. (eds). The Headache. Raven Press, New York, 1993, pp 795–808.Google Scholar
3.Bille, B. Migraine in school children. Acta Paediat Scand 1962; 51 (Suppl 136): 1–151.CrossRefGoogle Scholar
4.Bickerstaff, ER. Basilar artery migraine. Lancet 1961; 1: 15–17.CrossRefGoogle Scholar
5.Diamond, S. Basilar artery migraine. Migraine 1987; 81: 45–46.Google ScholarPubMed
6.Pratt, JL, Fleisher, GR. Syncope in children and adolescents. Pediatric Emergency Care 1989; 5: 80–82.CrossRefGoogle ScholarPubMed
7.Murdoch, BD. Loss of consciousness in healthy South African men. S Afr Med J 1980; 57: 771–774.Google ScholarPubMed
8.Grubb, BP, Gerald, G, Roush, K, Temesy-Armos, P, Montford, P, Elliott, L, Hahn, H, Brewter, P. Cerebral vasoconstriction during head-upright tilt-induced vasovagal syncope. Circulation 1991; 84: 1157–1164.CrossRefGoogle ScholarPubMed
9.Petersen, J, Scruton, D, Downie, AW. Basilar artery migraine with transient atrial fibrillatio. Br Med J 1977; 2: 1125–1126.CrossRefGoogle Scholar
10.Gilroy, J, Lerman, V. Cardiac arrhythmia in basilar migraine. Headache 1982; 22: 140.CrossRefGoogle ScholarPubMed
11.Smith, MS, Glass, ST. An adolescent girl with headache and syncope. J Adol Health Care 1989; 10: 54–56.CrossRefGoogle ScholarPubMed