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Basilar Migraine: more detail

Topiramate aids basilar migraine in small study.(Clinical Rounds)(Clinical report): An article from: Pediatric News by Michele G. Sullivan, 2007-08-01

101 Simple Ways to Eliminate , StopAnd Prevent Your Headaches And Migraines Without Resorting To Drugs (Learn How To Make the Agonizing Pain of Headaches Disappear) by Dr. Waynes, 2010-01-13

How To Get Rid Of Your Headache BEFORE It Starts! by Dr. Manny Samuel, 2009-08-15

101 Tips For Preventing Headaches: Learn To Live Better Without The Pain by Dr. Collin Jahason, 2009-08-20

lists with details

Basilar Migraine
Indepth discussion of the diagnosis and treatment of basilar artery migraine with information on Category Health Conditions and Diseases Migraine Basilar Symptoms described were eight of the 10 of the current definition of basilarmigraine (see above). Caplan LR basilar migraine letter.
http://www.wfubmc.edu/neurology/students/bam2.html

Extractions: Definition Basilar Artery Migraine (BAM) is a subtype of "migraine with aura" in the new IHS classification scheme. The category now combines the term "basilar artery migraine" with "posterior fossa migraine" under the term "basilar migraine," implying involvement of the basilar artery and its branches to the brainstem as well as the posterior cerebral arteries (Baloh and Harker, 1993). Under the current classification, the migranous episode must meet the criteria for "migraine with aura," and then also meet the following criteria for BAM. Basilar Artery Migraine: Pt. must have two (2) or more of the following symptoms: Note that although the headache associated with BAM is almost invariably bioccipital, the patient does NOT have to have a headache to meet the criteria for BAM. Discovery and Description The term "basilar artery migraine" was coined by E.R. Bickerstaff in 1961 in a paper to the Lancet (Bickerstaff, 1961). Dr. Bickerstaff had noticed several patients with a migraine-type headache whose symptoms were more consistent with the vertebrobasilar circulation of the brain than the internal carotid artery (ICA) circulation. The latter had been deemed by researchers to be the cause of symptoms in most migraine sufferers. Bickerstaff felt that if the ICA could be at fault, the vertebrobasilar circulation could just as easily be affected by whatever process was occuring to cause migraine. He described BAM in 34 patients, 26 of whom were adolescent girls. A typical description from his paper is as follows:
Neurology
around discussion of Ergotamine treatment, which should not be used in patients with Basilar Artery Migraine. (12/97)
http://www.chiroweb.com/archives/11/18/02.html

Extractions: MassageToday.com Brad McKechnie, DC, DACAN Basilar migraine was described by Bickerstaff in 1961 as a rare variant of migraine which frequently affects young women and girls and bears a strong relationship with menses.1 The condition is also known as basilar artery migraine, Bickerstaff's migraine, and syncopal migraine. Migraine literature also groups basilar migraine in with hemiplegic migraine and ophthalmoplegic migraine under the heading of "complicated migraines." Basilar migraine has since been shown to affect all age groups and both sexes with the usual migraine female predominance.2 The basilar migraine has been described by the Headache Classification Committee of the International Headache Society as "a migraine with aura symptoms clearly originating from the brainstem or from both occipital lobes." The aura phase of the migraine is due to transient brainstem and cerebellar ischemia, which can be mistaken for a transient ischemic attack of the vertebrobasilar circulation. The symptoms noted in the aura phase of the basilar artery migraine are the result of a combination of disturbances in the cerebellum, brainstem, and occipital lobes, which generally last for less than one hour. The aura phase usually begins with a bilateral disturbance of vision that may occasionally progress to temporary blindness. Visual symptoms are followed by varying combinations of ataxia, dysarthria, bilateral vertigo, tinnitus, changing levels of consciousness, bilateral paresthesias of the limbs, face, and tongue, and quadriparesis. Other brainstem- related symptoms less commonly noted include nystagmus, diplopia, and decreases in hearing.1-9
Basilar Migraine
basilar migraine. Brad McKechnie, DC, DACAN. basilar migraine was described by Bickerstaff in 1961 as a rare variant of
http://www.chiroweb.com/hg/11/18/02.html

Extractions: Basilar migraine was described by Bickerstaff in 1961 as a rare variant of migraine which frequently affects young women and girls and bears a strong relationship with menses.1 The condition is also known as basilar artery migraine, Bickerstaff's migraine, and syncopal migraine. Migraine literature also groups basilar migraine in with hemiplegic migraine and ophthalmoplegic migraine under the heading of "complicated migraines." Basilar migraine has since been shown to affect all age groups and both sexes with the usual migraine female predominance.2 The basilar migraine has been described by the Headache Classification Committee of the International Headache Society as "a migraine with aura symptoms clearly originating from the brainstem or from both occipital lobes." The aura phase of the migraine is due to transient brainstem and cerebellar ischemia, which can be mistaken for a transient ischemic attack of the vertebrobasilar circulation. The symptoms noted in the aura phase of the basilar artery migraine are the result of a combination of disturbances in the cerebellum, brainstem, and occipital lobes, which generally last for less than one hour. The aura phase usually begins with a bilateral disturbance of vision that may occasionally progress to temporary blindness. Visual symptoms are followed by varying combinations of ataxia, dysarthria, bilateral vertigo, tinnitus, changing levels of consciousness, bilateral paresthesias of the limbs, face, and tongue, and quadriparesis. Other brainstem- related symptoms less commonly noted include nystagmus, diplopia, and decreases in hearing.1-9
Basilar Migraine
Welcome to the WebMD Mental Health Center, learn about symptoms, treatments and more for Basilar Artery Migraine.
http://www.toddtroost.com/students/bam2.html

Extractions: Go to Migraine Page Definition Basilar Artery Migraine (BAM) is a subtype of "migraine with aura" in the new IHS classification scheme. The category now combines the term "basilar artery migraine" with "posterior fossa migraine" under the term "basilar migraine," implying involvement of the basilar artery and its branches to the brainstem as well as the posterior cerebral arteries (Baloh and Harker, 1993). Under the current classification, the migranous episode must meet the criteria for "migraine with aura," and then also meet the following criteria for BAM. Basilar Artery Migraine: Pt. must have two (2) or more of the following symptoms: visual symptoms (bilateral temporal and nasal fields) double vision dysarthria ataxia vertigo tinnitus bilateral paresthesia decreased hearing decreased level of consciousness bilateral paresis Note that although the headache associated with BAM is almost invariably bioccipital, the patient does NOT have to have a headache to meet the criteria for BAM. Discovery and Description The term "basilar artery migraine" was coined by E.R. Bickerstaff in 1961 in a paper to the
Vestibular Vs Basilar Migraine
Subject Vestibular vs basilar migraine Topic Area Headache Forum The Neurologyand Neurosurgery Forum Question Posted By Jeannine on Sunday, January 28
http://www.medhelp.org/forums/neuro/messages/31048a.html

Extractions: I have had:BSER-OK ENG/ABR positional test= nystgmus 3 out of 7 positions,indicates vestibular dysfunction cannot be further localized,caloric weakness 7% left ear, directional prepoderance 11% to the left, EKG-OK, MRA-OK, MRI on 3/99-OK,this was for nausea and vomiting,I had been diag with idiopathic gastroparesis on 2/98 and recently colonic inertia/pelvic floor dysfunction.My current health is "poor" I am 5'10" and weigh 104 I have lost 20 lbs with the gastroparesis.
BASILAR MIGRAINE
basilar migraine A form of complicated migraine headache that is characterizedby the addition of bilateral visual symptoms, paresthesias, confusion, stupor
http://www.medhelp.org/glossary2/new/GLS_0677.HTM

Extractions: BASILAR MIGRAINE - A form of complicated migraine headache that is characterized by the addition of bilateral visual symptoms, paresthesias , confusion, stupor , rarely coma , aggressive outbursts, slurred speech, double, vision, and vertigo . Alternating hemiplegias (one-sided weakness) have also been attributed to basilar migraine . May also exist with only some of the aforementioned symptoms as a "partial basilar syndrome."
Karyn S. Huntting's Basilar Artery Migraine Page > Migraine Classification Stand
indeed those commonly associated with vertebrobasilar migraine (also called
http://s-2000.com/bam/bam_mig_class_stds.html

Extractions: Home About New Bookstore ... Feedback Migraine Classification Standards Following is the International Headache Society Classification of Migraine. It lists "Basilar Migraine," in any form, as a separate category of migraine under the "Migraine with aura" classification. Click Here to Visit Karyn's Other Web Sites! free stuff humor sweepstakes living ...
Health Library - Basilar Migraine Headache
basilar migraine headache. basilar migraines are a less common formof migraine headache. This type of migraine occurs most often
http://yalenewhavenhealth.org/library/healthguide/IllnessConditions/topic.asp?hw
Basilar Migraine Headache
Print This Page. Email to a Friend. basilar migraine headache. Basilarmigraines are a less common form of migraine headache. This
http://www.meritcare.com/hwdb/_followLink.asp?sgml_id=tm6290
Basilar Migraine
basilar migraine. basilar migraine is thought to involve the basilarartery at the Circle of Willis and result in numerous bizarre
http://www.pediatric-emergency.com/migraine.htm

Extractions: Basilar Migraine Basilar migraine is thought to involve the basilar artery at the Circle of Willis and result in numerous bizarre manifestations that are not necessarily associated with headache. The few patients I have seen with this condition have very sudden onset, unlike our patient, and the syndrome resolves relatively quickly as well (within 24 hours). Based on blood and CSF tests, as well as MRI, our patient was thought to have a post-viral white matter change in the left cerebral hemisphere causing a defect in the frontal eye fields partly responsible for congugate horizontal eye movements. © Jay D. Fisher MD (1/20/98)
Health Library - Basilar Migraine Headache
basilar migraine headache. basilar migraines are a less common formof migraine headache. This type of migraine occurs most often
http://www.laurushealth.com/library/healthguide/illnessconditions/topic.asp?hwid
Health Library - Basilar Migraine Headache
Saint Luke's Health System eLibrary. basilar migraine headache. Basilarmigraines are a less common form of migraine headache. This
http://hvelink.saint-lukes.org/library/healthguide/IllnessConditions/topic.asp?h
National Headache Foundation: Basilar Migraine
basilar migraine. When migraine affects the circulation in back of the brainor neck, it can cause basilar migraine or Bickerstaff's Syndrome.
http://www.headaches.org/consumer/topicsheets/basilarmigrane.html

Extractions: BASILAR MIGRAINE When migraine affects the circulation in back of the brain or neck, it can cause Basilar Migraine or Bickerstaff's Syndrome. It occu rs most frequently in young women. Dizziness, double vision, loss of balance, confusion, slurred speech, fainting and disorientation can occur. During the acute headache, some lose consciousness. Often these patients are mistakenly thought to be intoxicated, under the influence of drugs, or suffering from other conditions. A previous history of migraine is helpful in making the diagnosis. top of page
National Headache Foundation: Complicated Migraine
loss of strength of muscles. There is basilar migraine, which usedto be called Bickerstaff's syndrome. Here patients start with a
http://www.headaches.org/consumer/topicsheets/complicatedmigrane.html

Extractions: COMPLICATED MIGRAINE In all these forms there seems to be an increased risk of the migraine producing permanent neurological changes that do not go away and may also correlate with changes on the MRI scan like those seen in stroke. Medications such as the beta-blockers, triptans and ergots are often avoided in these types of headaches for fear of increasing the risk of stroke. Calcium blockers and anti epileptic drugs seem to be best for prevention. Smoking, the use of hormones in menopause and birth control pills are avoided as well again to decrease the risk of long-term problems. top of page
1
Migraine1.2.4 basilar migraine. Previously used terms Basilar artery migraine,Bickerstaff's migraine, syncopal migraine.
http://www.dent.ucla.edu/sod/depts/oralfacial/courses/merrill/basilar.html

Extractions: Decreased level of consciousness Comments: Many of the symptoms listed under the diagnostic criteria are subject to misinterpretation as they may occur with anxiety and hyperventilation. The symptoms due to brainstem function, such as vertigo, dysarthria, diplopia occur as the only neurologic symptoms of the attack in 25 percent of patients with basilar migraine. Bickerstaff described a typical sequence of neurological events that involved total blindness and sensorial clouding that was seen frequently in adolescent women. He indicated that the headache episodes began with total blindness and would be accompanied or followed by various combinations of vertigo, ataxia, dysarthria, tinnitus, and distal /perioral paresthesias. Often the patients experience a state of confusion. These symptoms often persist for 20 to 30 minutes and are generally followed by a throbbing occipital headache. The altered sensorial effects may last up to 5 days and be marked by confusion. Originally the term basilar artery migraine was used but since spasm of the basilar artery may not be the mechanism of the attacks, the term basilar migraine is preferred. Many cases have basilar attacks intermingled with attacks with typical aura. Basilar attacks are mostly seen in young adults.
Familial
The headache is usually ipsilateral to the hemiplegia. Brainstem dysfunctionis commonly observed with the headache (see basilar migraine).
http://www.dent.ucla.edu/sod/depts/oralfacial/courses/merrill/hemipleg.html

Extractions: C. At least one firs degree relative has identical attacks. Comments: This disorder is marked by paralysis of the limbs on one side (hemiplegia). It may be seen as a feature of the prodromal phase and resolve as the headache appears, as with migraine. The headache is usually ipsilateral to the hemiplegia. Brainstem dysfunction is commonly observed with the headache (see Basilar Migraine). This disorder probably has the same pathophysiology as migraine with typical aura. The reason for still keeping it separate is that families have been described where attacks are strikingly identical and sometimes long lasting. The term familial hemiplegic migraine has been abused since in most families different forms of migraine occur and most patients with hemiplegic attacks have these intermingled with more frequent attacks of migraine without hemiparesis. The headache occurs in both sporadic and familial forms. Usually beginning in childhood, sometimes as early as 1-2years and generally ceasing in adulthood. The hemiplegia is usually part of the aura and may last an hour or longer. Headache follows the hemiplegia or may occur with it. There is a male predominance. CSF pleocytosis may be present (predominantly PMN's). Cerebral angiography performed during the hemiparetic attacks are usually unremarkable although constriction of the internal carotic and basilar arteries have been seen.
Dorlands Medical Dictionary
basilar migraine, basilar artery migraine, a type of ophthalmic migraine whoseaura fills both visual fields and which may be accompanied by dysarthria and
http://www.mercksource.com/pp/us/cns/cns_hl_dorlands.jspzQzpgzEzzSzppdocszSzuszS
Basilar Migraine
basilar migraine. This response submitted by Debbie Kasarsky on 1/18/96.I wanted to thank you for your response to my article from August.
http://neuro-www.mgh.harvard.edu/neurowebforum/ChildNeurologyArticles/BasilarMig
Re Basilar Migraine
re basilar migraine. This response submitted by Terri Glover on 1/18/96.Thanks for your response Debra! Please contact me at internet
http://neuro-www.mgh.harvard.edu/neurowebforum/ChildNeurologyArticles/reBasilarM
Identifying Migraines In Children
basilar migraine Common in children, a basilar migraine occurs when the basilarartery spasms. Visual aura often occur with a basilar migraine.
http://www.migraine-facts.com/html/children.php3

Extractions: Ten percent of children and adolescents under fifteen years of age suffer from severe headaches. Researchers suspect that the number may actually be higher as children's headaches are difficult to diagnose and are often dismissed as fatigue or just "crankiness." Young children may have difficulty explaining their symptoms to parents or doctors, making an accurate diagnosis even more difficult. Any family history of migraines should be reported to your health professional. Symptoms in children and teens differ in some ways from those of adults. With a few exceptions, children's headaches are fortunately shorter in duration than those of adults. While young children usually experience pain on both sides of the head, teenagers, like adults, tend to experience the pain on only one side of the head.

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