SIMULTANEOUS MULTIPLE BRAIN HEMORRHAGE ASSOCIATED WITH MIGRAINE - A CASE-REPORT

A fifty-five-year-old woman with a history of migraine suddenly develo ped an occipital headache and visual disturbance after a typical migra inous attack. On admission, she had a left homonymous hemianopsia, and computed tomography of the brain demonstrated intracranial hematomas in the occipital subcortices bilaterally. Cerebral arteriography revea led diffuse vasospasm of the intracranial arteries attributed to the m igraine. The cystatin C concentration in the cerebrospinal fluid was l ow, which suggested the existence of cerebral amyloid angiopathy. Acco rding to the clinical course and angiographic findings, it is suggeste d that the vasospasm associated with migraine played an important role in developing multiple brain hemorrhage in this patient.