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.

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http://dx.doi.org/10.1177/0333102414520765DOI Listing

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