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The aim of the study is to determine the proportion of patients with change in brain perfusion during the acute phase of migraine attack with aura.
Migraine is a benign and frequent disorder. Migraine aura consists in reversible focal neurological symptoms developing gradually during attack. Its diagnosis relies mainly on patient's history, clinical examination and exclusion of other possible secondary causes to explain transient neurological signs. Thus it can be difficult particularly during first attack or during attack without headache to differentiate migraine aura from transient ischemic stroke. Considering the difference of care management and prognosis, an early distinction of migraine aura based on imaging techniques will have a particular interest. MRI with diffusion, SWI, Flair 2D, ARM 3D TOF, ASL sequences' are routinely performed for the management of acute neurological deficit. Arterial spin labeling (ASL), as a MR perfusion method, will be used to describe brain perfusion during migraine aura. The study hypothesis is that hyperperfusion occurs in brain territories corresponding to the neurological symptoms during migraine aura.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| the difference of care management and prognosis, an early distinction of migraine aura based on imaging techniques will have a particular interest | Other | the difference of care management and prognosis, an early distinction of migraine aura based on imaging techniques will have a particular interest |
| Measure | Description | Time Frame |
|---|---|---|
| Perfusion pattern of concerned brain areas | Presence or absence of hypo-hyperperfusion using arterial spin labeling. Visual assessments and comparison between hemispheres | 1 hour |
| Measure | Description | Time Frame |
|---|---|---|
| Pattern of perfusion and aura duration | Change in brain perfusion in relation to neurological deficits (migraine aura) duration. | 12 month |
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Inclusion Criteria:
Exclusion Criteria:
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Patients admitted to the hospital with neurological deficit and final clinical diagnosis of migraine with aura (certain probable as defined by The International Classification of Headache Disorders)
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| Name | Affiliation | Role |
|---|---|---|
| Solene de Gaalon, Dr | Nantes University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU Nantes | Nantes | 44000 | France |
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| ID | Term |
|---|---|
| D004630 | Emergencies |
| D008881 | Migraine Disorders |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D051270 | Headache Disorders, Primary |
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| D020773 | Headache Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |