Saturday, 23 November 2013

Basilar Artery headache (BAM) - Diseases associated with

 Basilar artery headache (BAM) is a rare form of migraine with aura. Researchers suspected that basilar  migraine had its start in the basilar artery at the brainstem or base of the brain in the back of the head, affecting both hemispheres of the brain at the same time.

 Diseases associated with Basilar Artery headache (BAM)
1. Epilepsy (seizure disorders)
There are evidence that an individual can suffer both from headaches (either migraine and/or other type of headache) and epilepsy. Some researchers found that headaches sometimes occur simultaneously with, or very close in time to, the seizure: one that occurs at the same time as an epileptic seizure is known as an "ictal epileptic headache" or as "hemicrania epileptica"; one that precedes a seizure is known as a "pre-ictal headache"; and one that follows a seizure is known as a "post-ictal headache". There is a particular type of pre-ictal headache, known as "migralepsy", which occurs during or just after a migraine aura.(a)

2. Stroke
Headache is a common symptom at the onset of acute ischemic cerebrovascular disease. Simultaneous development of migraine-like headache and stroke make differentiation sometime difficult to establish between migraine-induced stroke and migraine-like headache attributed to ischemic stroke(b)

3. Neuro-otological manifestations
In the study of  200 unselected patients with migraine (Series I), 80 migrainous patients referred because of their symptoms for full neuro-otological examination (Series II), and 116 patients with tension headache who served as controls (Series III), persisting vestibulocochlear derangements were found in 77.5 per cent of Series II, largely vestibular and of both central and peripheral origin. Involvement of the vertebrobasilar vascular system appears to be the most likely explanation. Possible links between Ménière's disease, benign paroxysmal vertigo and migraine(c)

4. Tumor   
Migraine with typical aura can occur in association with an occipital lobe tumor, as in case of 60-year-old woman in whom migraine with typical aura heralded the presence of an occipital lobe tumor. Her headache was characterized by recurrent episodes of visual aura confined to the left visual field followed by right hemicranial throbbing headaches accompanied by nausea, photophobia, and phonophobia(d)

5. headache of subarachnoid hemorrhage and meningitis
In the review of Sumatriptan, as an agent for the treatment of acute migraine, but also may be used to alleviate not only migraine headache, but also headache of subarachnoid hemorrhage and meningitis(e)

6. Brain infarcts
In the evaluation of 780 participants (mean age 69, 58.5% women) with detailed headache assessment for the association of overall and specific headaches with volume of white matter hyperintensities, brain infarcts, and cognition, conducted by Unit 708--Neuroepidemiology, Paris, France. tobias, migraine with aura was the only headache type associated with brain infarcts(f)

7. Etc. 

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