Detection of Migrainous Infarction with Formal Visual Field Testing: A Case Report-Reference-Cited by-同舟云学术

Detection of Migrainous Infarction with Formal Visual Field Testing: A Case Report

Published:2020-07-09 Issue:3 Volume:4 Page:366-370
ISSN:2474-252X
Container-title:Clinical Practice and Cases in Emergency Medicine
language:
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Author:

Bylund William¹,Patrick Ross²,Macdonald Ann³

Affiliation:

1. Naval Hospital Okinawa, Department of Emergency Medicine, Okinawa, Japan

2. Naval Hospital Okinawa, Department of Internal Medicine, Okinawa, Japan

3. Naval Hospital Okinawa, Department of Optometry, Okinawa, Japan

Abstract

Introduction: Cerebrovascular accidents (CVA) of the posterior circulation are a rare complication of migraine, and present with atypical CVA symptomatology. Case Report: A 49-year-old-male presented with complaint of persistent visual aura and resolved mild cephalgia. His exam corroborated his reported incomplete left inferior quadrantanopia, and was confirmed by immediate formal optometry evaluation. Occipital CVA was confirmed on admission. Conclusion: Migrainous strokes of posterior circulation should be considered as a potential diagnosis in any headache patient with persistent visual aura. This case suggests that incorporation of formal visual field testing in the emergent setting can shorten the time required for diagnosis in certain circumstances.

Publisher

Western Journal of Emergency Medicine

Subject

Emergency Nursing,Emergency Medicine

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