AI Article Synopsis

  • * An MRI revealed a hyperintense area in the right parieto-occipital cortex, indicating a small cortical infarct, which was not visible a week later.
  • * The study suggests that MRI can help diagnose the underlying causes of aura-like headaches, leading to better patient management.

Article Abstract

A 56-year-old right-handed man was referred to our hospital for evaluation of sudden-onset transient quadrantanopia, which was followed by throbbing headache consistent with migraine with aura (MA). Magnetic resonance imaging (MRI) of the right parieto-occipital cortex on admission showed a hyperintense region on diffusion-weighted imaging, which disappeared 7 days later. A small cortical infarct in the parieto-occipital cortex can cause MA-like headache, and the present infarct lesion was only detectable on MRI during the acute phase. Performing MRI for patients with suspected acute MA might help identify the cause of MA-like headache and ensure appropriate management of patients.

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http://dx.doi.org/10.1272/jnms.JNMS.2025_92-103DOI Listing

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