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Abstracts


偏頭痛已知是造成缺血性中風的一個風險因子。一57歲女性,有偏頭痛及高血壓之過去病史,常因血壓過高急診於本院。最近這4個月內因反覆發作眩暈、頭痛及步態失調而求診,尚無複視、暈厥、感覺異常或肌肉無力,曾因一次劇烈眩暈發作而送醫,在爾後2個月,病症逐漸減輕。根據所有病程變化、理學檢查、聽力檢查、眼振電圖及前庭誘發肌性電位,可能是偏頭痛性眩暈,但腦部血管磁振造影顯示應爲偏頭痛性小腦梗塞。因此,偏頭痛性眩暈依然必需謹慎應對,可能就是小腦梗塞,特別是在高血壓、抽菸、酗酒、高血脂症、糖尿病或體能消耗量過大之患者。

Parallel abstracts


Migraine has been known a risk factor of ischemic stroke. A 57-year-old female, with past history of migraine and hypertension, has been always sent to our emergency because of too high blood pressure. She has been bothered with frequent episodes of dizziness, vertigo, headache and ataxia in recent four months. Diplopia, syncope, paresthesia or muscular weakness was not noted. She was once sent to our emergency because of vertigo, and then the disease relieved gradually in the following two months. Migrainous vertigo was impressed after the progress of disease, physical examination, audiometry, electronystagmography, and vestibular evoked myogenic potential were reviewed. However, magnetic resonance angiogram of brain revealed migrainous infarction of cerebellum. Therefore, migrainous vertigo might be migrainous infarction of cerebellum, especially in he/she who with hypertension, cigarette smoking, alcohol drinking, hyper-lipidemia, diabetes, or over physical activity.

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