Migraine with aura and stroke - the role of warning signs in the context of secondary headaches: case report

IntroductionHeadache is a very common complaint in doctors' offices, with primary causes being the majority relation to secondary ones. Despite this, identification of headaches relevant clinical practice, since these can be life-threatening condition, functionality or even reversible cause. However, imaging screening for all individuals headache costly and unrewarding. Therefore, it important know warning signs that, together context, lead more precise indication exams early well-targeted therapeutic interventions.Clinical caseThis 60-year-old man, previously dyslipidemic smoker, migraine aura reported childhood, who underwent treatment sodium valproate, attack suppression. About 4 months before admission, he presented an alteration pain pattern, amaurosis fugax right eye, dizziness mild paresis hypoesthesia left side body, primarily treated by him as crises, without improvement use triptans. A new outpatient investigation was carried out, which showed multiple small infarcts hemisphere atheromatous plaque carotid bulb obstruction approximately 85%. Diagnostic arteriography performed, stent implantation, uneventfully.ConclusionThe differential diagnosis between cerebrovascular event has already been widely literature constitutes pitfall routine headaches, serious potentially disabling condition overlooked. The joint evaluation alarm global context becomes tool propaedeutics patients, knowledge this casuistry something within practice.