An uncommon cause of intracerebral hemorrhage in a healthy truck driver

Sankalp Gokhale, Shivani Ghoshal, Sourabh A. Lahoti, Louis R. Caplan

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objectives: To describe a case and review literature for intracerebral hemorrhage caused by migraine. Design: Case report. Setting: Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts. Patient: A 54-year-old truck driver with a 2-year history of atypical headaches. Results: A54-year-old right-handed truck driver was seen in consultation with a 2-year history of atypical headaches. The headaches were dull, throbbing, gradually progressive, and limited over the left occipital area. They were accompanied by right visual field deficit, diplopia, and, at times, confusion. These headaches were notably different from the usual migraine headaches he had been having for more than 20 years. Brain imaging revealed left parieto-occipital lobar hemorrhage. Further investigations ruled out arteriovenous malformations. He did not have any vascular risk factors, including hypertension. Migraine-associated intracerebral hemorrhage was considered to be the most likely diagnosis. Conclusions: Intracerebral hemorrhage associated with migraine is believed to result from vasoconstriction leading to ischemia of the walls of blood vessels, making them leaky and porous. It is important to be aware of this phenomenon because vasoactive medications used to treat migraine can further aggravate the vasoconstriction and hence the intracerebral bleed.

Original languageEnglish (US)
Pages (from-to)1500-1503
Number of pages4
JournalArchives of Neurology
Volume69
Issue number11
DOIs
StatePublished - Nov 2012

Fingerprint

Cerebral Hemorrhage
Motor Vehicles
Migraine Disorders
Headache
Vasoconstriction
Confusion
Diplopia
Arteriovenous Malformations
Israel
Visual Fields
Medical Schools
Neuroimaging
Blood Vessels
Referral and Consultation
Ischemia
History
Causes
Hemorrhage
Hypertension
Vessel

ASJC Scopus subject areas

  • Clinical Neurology
  • Arts and Humanities (miscellaneous)

Cite this

An uncommon cause of intracerebral hemorrhage in a healthy truck driver. / Gokhale, Sankalp; Ghoshal, Shivani; Lahoti, Sourabh A.; Caplan, Louis R.

In: Archives of Neurology, Vol. 69, No. 11, 11.2012, p. 1500-1503.

Research output: Contribution to journalArticle

Gokhale, Sankalp ; Ghoshal, Shivani ; Lahoti, Sourabh A. ; Caplan, Louis R. / An uncommon cause of intracerebral hemorrhage in a healthy truck driver. In: Archives of Neurology. 2012 ; Vol. 69, No. 11. pp. 1500-1503.
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