Susceptibility-Weighted Magnetic Resonance Imaging Findings of Two Pediatric Migraine Patients with Aura

Abstract

Objective Migraine with aura is considered common during the pediatric age and in some cases it could be hard to distinguish migraine from mimicking conditions. We would like to emphasize the role of susceptibility-weighted imaging (SWI) in pediatric migraine patients with aura.

Methods We retrospectively reviewed the clinical and SWI findings of two pediatric migraine patients with aura.

Results Initial SWI of two pediatric migraine patients with aura demonstrated venous conspicuity in the left cerebral hemisphere and follow-up SWI of them showed normal findings with symmetrical venous vasculature.

Conclusion Beyond routine work-up techniques, SWI in combination with diffusion-weighted imaging is helpful for differentiation from acute ischemic stroke, especially in the setting of acephalgic migraine. Multimodality imaging may also be helpful in elucidating the underlying pathophysiologic mechanisms of migraine in the pediatric age group.

Keywords

migraine - aura - susceptibility-weighted imaging - cortical spreading depression - magnetic resonance imaging

Authors' Contribution

R.G. had designed and wrote the article; C.G. had collected the data; M.A. and K.K.O. had revised the article; and G.H. had designed and reviewed the article.

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