Vestibular migraine with Wallenberg syndrome: a case report

Abstract Background Vestibular migraine, a kind of acute vestibular syndrome, leads to both migraines and vertigo symptoms in a single patient. The occurrence of vestibular migraine has shown an obvious increase in female groups based on age. Though it is recognized that migraines may cause ischemic...

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Main Authors: Ying Xin, Junyi Fu, Longchang Xie, Jie Yang, Guanhao Ke
Format: Article
Language:English
Published: BMC 2020-05-01
Series:BMC Neurology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12883-020-01786-1
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author Ying Xin
Junyi Fu
Longchang Xie
Jie Yang
Guanhao Ke
author_facet Ying Xin
Junyi Fu
Longchang Xie
Jie Yang
Guanhao Ke
author_sort Ying Xin
collection DOAJ
description Abstract Background Vestibular migraine, a kind of acute vestibular syndrome, leads to both migraines and vertigo symptoms in a single patient. The occurrence of vestibular migraine has shown an obvious increase in female groups based on age. Though it is recognized that migraines may cause ischemic lesions in some brain regions, the relationship between vestibular migraine and cerebral infarction has seldom been reported, especially with no known research reports about vestibular migraine with Wallenberg syndrome. Based on this, the connection of the two diseases needs to be the focus of more research. Case presentation The patient, a 35-year-old lady, came to our department with severe vertigo and headaches for approximately two years. She suffered from migraines which attacked about twice yearly for nearly a decade. The diffusive weighted imaging showed a subacute infarction in the right lateral medullar. The clinical characteristics and MRI findings supported the diagnosis of vestibular migraine with Wallenberg syndrome. Along with the normal routine medication for vestibular migraine with Wallenberg syndrome, we also prescribed migraine therapy at the same time. In a 3-month follow-up, the patient had suffered only one vertigo attack and she reported that the migraines were less common and less intense than she was previously experiencing. Conclusions Due to the fact that vestibular migraine is one of the risk factors of cerebral ischemia, we need to pay more attention to this phenomenon. The current case suggests that both routine medication on ischemic stroke as well as treatment for migraines should be used concurrently in vestibular migraine with Wallenberg syndrome.
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spelling doaj.art-8bbb9c696cab41348ed7fb5cfd0fcf5c2022-12-21T23:36:41ZengBMCBMC Neurology1471-23772020-05-012011510.1186/s12883-020-01786-1Vestibular migraine with Wallenberg syndrome: a case reportYing Xin0Junyi Fu1Longchang Xie2Jie Yang3Guanhao Ke4Department of Neurology, The 2nd Affiliated Hospital of Guangzhou Medical UniversityDepartment of Neurology, The 2nd Affiliated Hospital of Guangzhou Medical UniversityDepartment of Neurology, The 2nd Affiliated Hospital of Guangzhou Medical UniversityDepartment of Neurology, The 2nd Affiliated Hospital of Guangzhou Medical UniversityDepartment of Neurology, The 2nd Affiliated Hospital of Guangzhou Medical UniversityAbstract Background Vestibular migraine, a kind of acute vestibular syndrome, leads to both migraines and vertigo symptoms in a single patient. The occurrence of vestibular migraine has shown an obvious increase in female groups based on age. Though it is recognized that migraines may cause ischemic lesions in some brain regions, the relationship between vestibular migraine and cerebral infarction has seldom been reported, especially with no known research reports about vestibular migraine with Wallenberg syndrome. Based on this, the connection of the two diseases needs to be the focus of more research. Case presentation The patient, a 35-year-old lady, came to our department with severe vertigo and headaches for approximately two years. She suffered from migraines which attacked about twice yearly for nearly a decade. The diffusive weighted imaging showed a subacute infarction in the right lateral medullar. The clinical characteristics and MRI findings supported the diagnosis of vestibular migraine with Wallenberg syndrome. Along with the normal routine medication for vestibular migraine with Wallenberg syndrome, we also prescribed migraine therapy at the same time. In a 3-month follow-up, the patient had suffered only one vertigo attack and she reported that the migraines were less common and less intense than she was previously experiencing. Conclusions Due to the fact that vestibular migraine is one of the risk factors of cerebral ischemia, we need to pay more attention to this phenomenon. The current case suggests that both routine medication on ischemic stroke as well as treatment for migraines should be used concurrently in vestibular migraine with Wallenberg syndrome.http://link.springer.com/article/10.1186/s12883-020-01786-1Vestibular migraineWallenberg syndromeVertigoHeadacheCase report
spellingShingle Ying Xin
Junyi Fu
Longchang Xie
Jie Yang
Guanhao Ke
Vestibular migraine with Wallenberg syndrome: a case report
BMC Neurology
Vestibular migraine
Wallenberg syndrome
Vertigo
Headache
Case report
title Vestibular migraine with Wallenberg syndrome: a case report
title_full Vestibular migraine with Wallenberg syndrome: a case report
title_fullStr Vestibular migraine with Wallenberg syndrome: a case report
title_full_unstemmed Vestibular migraine with Wallenberg syndrome: a case report
title_short Vestibular migraine with Wallenberg syndrome: a case report
title_sort vestibular migraine with wallenberg syndrome a case report
topic Vestibular migraine
Wallenberg syndrome
Vertigo
Headache
Case report
url http://link.springer.com/article/10.1186/s12883-020-01786-1
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AT junyifu vestibularmigrainewithwallenbergsyndromeacasereport
AT longchangxie vestibularmigrainewithwallenbergsyndromeacasereport
AT jieyang vestibularmigrainewithwallenbergsyndromeacasereport
AT guanhaoke vestibularmigrainewithwallenbergsyndromeacasereport