MELAS PRESENTING AS MIGRAINE COMPLICATED BY STROKE - CASE-REPORT

A case of MELAS (mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes) which presented as migraine complicated by stro ke is reported, Strokes associated with migraine have often been repor ted, but the mechanism remains unclear and may include a variety of pa thologies. MELAS also presents with migrainous headache, vomiting, and strokelike symptoms. Magnetic resonance imaging demonstrates characte ristic findings. MELAS should be considered in the differential diagno sis of infarct-like lesions with migrainous headaches in young adults, especially if the symptoms fluctuate and are accompanied by a homonym ous hemianopia.