Volume 4, Issue 5, September 2016, Page: 76-78
Cerebellar Infarction Associated with a Patent Foramen Ovale Revealed by Wallenberg Syndrome During a Migraine Attack
Soumaila Boubacar, Department of Neurology, Fann National Teaching Hospital, Dakar, Senegal
Ngor Side Diagne, Department of Neurology, Fann National Teaching Hospital, Dakar, Senegal
Djibrilla Wazir Ben Adji, Department of Medicine, National Hospital, Niamey, Niger
Eric Gueumekane Bila Lamou, Department of Neurology, Fann National Teaching Hospital, Dakar, Senegal
Christian Madjirabe Ngarndiguina, Department of Neurology, Fann National Teaching Hospital, Dakar, Senegal
Youssoufa Maiga, Department of Neurology, Gabriel Touré University Hospital, Bamako, Mali
Lala Bouna Seck, Department of Neurology, Fann National Teaching Hospital, Dakar, Senegal
Kamadore Touré, Department of Neurology, Fann National Teaching Hospital, Dakar, Senegal
Moustapha Ndiaye, Department of Neurology, Fann National Teaching Hospital, Dakar, Senegal
Amadou Gallo Diop, Department of Neurology, Fann National Teaching Hospital, Dakar, Senegal
Mouhamadou Mansour Ndiaye, Department of Neurology, Fann National Teaching Hospital, Dakar, Senegal
Received: Aug. 3, 2016;       Accepted: Aug. 15, 2016;       Published: Sep. 7, 2016
DOI: 10.11648/j.ajpn.20160405.12      View  3064      Downloads  86
Abstract
The occurrence of cerebellar infarction associated with a patent foramen ovale during a migraine attack is rare and ambiguous etiopathogenic explanation. We report the case of a young patient. It was about a 25-years-old, migraine known since age of 8 years, with no particular medical history, admitted to the neurology department of Fann National Teaching Hospital of Dakar for headaches, acute onset of balance and walking disorders in a context of big rotatory dizziness. Neurological examination have objectified a Wallenberg syndrome. The rest of the physical examination was normal. The diagnosis of cerebellar infarction was retained on basis of brain CT and brain MRI. The etiologic test showed patent foramen oval at transoesophageal echocardiography. The diagnosis of migrainous infarction was retained on basis of the young age of the patient, migraine with aura, presence of patent foramen ovale (vascular risk factor etiology?) and lack of any other cause. Patient received anticoagulants and analgesics combined with physical rehabilitation. Outcome was favorable marked by motor recovery. A migrainous infarction, especially cerebellar infarction should be discussed in front of any attack in known migraine with focal neurological signs.
Keywords
Infarction, Migraine, PFO, Dakar, Senegal
To cite this article
Soumaila Boubacar, Ngor Side Diagne, Djibrilla Wazir Ben Adji, Eric Gueumekane Bila Lamou, Christian Madjirabe Ngarndiguina, Youssoufa Maiga, Lala Bouna Seck, Kamadore Touré, Moustapha Ndiaye, Amadou Gallo Diop, Mouhamadou Mansour Ndiaye, Cerebellar Infarction Associated with a Patent Foramen Ovale Revealed by Wallenberg Syndrome During a Migraine Attack, American Journal of Psychiatry and Neuroscience. Vol. 4, No. 5, 2016, pp. 76-78. doi: 10.11648/j.ajpn.20160405.12
Copyright
Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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