Hyperperfusion with vasogenic leakage by fMRI in migraine with prolonged aura

We describe a case of prolonged aura during migraine with neuroimaging that demonstrates increased perfusion and leakage of contrast into the subarachnoid space

Marsha Smith


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  • History was notable for migraine in both the patient’s daughter and mother
  • Prior evaluation including MRI of the head was unremarkable. Her typical episodes lasted 1 day and were associated with visual scotoma followed by transient expressive aphasia, but no weakness
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