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Migraine and Intracerebral Hemorrhage-Reply

Migraine and Intracerebral Hemorrhage-Reply This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract In Reply. —De Smet and Brucher point out that two cases of intracerebral hemorrhage, both diagnosed at postmortem examination, appear to have been the result of arterial rupture following embolic occlusion. They propose that such rupture may be the consequence of local violent vasospasm following embolic occlusion. While our list of potential causes of cerebral vasospasm was not meant to be exhaustive, we would emphasize that none of our patients had evidence of embolic arterial occlusion demonstrated by acute angiographic studies.Vazquez-Cruz has called our attention to his report of 11 patients with migraine who suffered intracerebral hemorrhage. Nine of those patients had hypertension or identified vascular malformations, one was an alcoholic, and one had no predisposing cause. We are unaware of an association between alcoholism and intracerebral hemorrhage except in the setting of coagulopathy or direct trauma. None the less, none of our patients were alcoholics. Migraine is a http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology American Medical Association

Migraine and Intracerebral Hemorrhage-Reply

Archives of Neurology , Volume 48 (1) – Jan 1, 1991

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Publisher
American Medical Association
Copyright
Copyright © 1991 American Medical Association. All Rights Reserved.
ISSN
0003-9942
eISSN
1538-3687
DOI
10.1001/archneur.1991.00530130025006
Publisher site
See Article on Publisher Site

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract In Reply. —De Smet and Brucher point out that two cases of intracerebral hemorrhage, both diagnosed at postmortem examination, appear to have been the result of arterial rupture following embolic occlusion. They propose that such rupture may be the consequence of local violent vasospasm following embolic occlusion. While our list of potential causes of cerebral vasospasm was not meant to be exhaustive, we would emphasize that none of our patients had evidence of embolic arterial occlusion demonstrated by acute angiographic studies.Vazquez-Cruz has called our attention to his report of 11 patients with migraine who suffered intracerebral hemorrhage. Nine of those patients had hypertension or identified vascular malformations, one was an alcoholic, and one had no predisposing cause. We are unaware of an association between alcoholism and intracerebral hemorrhage except in the setting of coagulopathy or direct trauma. None the less, none of our patients were alcoholics. Migraine is a

Journal

Archives of NeurologyAmerican Medical Association

Published: Jan 1, 1991

There are no references for this article.