Neurol Case Rep | Volume 2, Issue 2 | Case Report | Open Access

Cerebral Vasospasm and Ischemic Stroke Associated with Chronic Sumatriptan Use for Migraine Headache: A Case Report and Literature Review

Kazunori Oda1,2*, Minoru Kogiku1 , Katsutoshi Abe1 , Masayuki Noda1 , Hirohisa Kishi1 , Daijiro Morimoto2 and Akio Morita2

1Department of Neurosurgery, Yokohama Shin Midori General Hospital, Japan 2Department of Neurological Surgery, Nippon Medical School, Japan

*Correspondance to: Kazunori Oda 

Fulltext PDF

Abstract

Migraine is a common neurovascular disease that is often treated with sumatriptans. Although they are rare, several cases of ischemic stroke associated with chronic use of triptans have been reported; however, detailed imaging findings were not presented in these previous reports. Here, we report a case of 68 years old man using sumatriptan chronically for migraine treatment with ischemic stroke and unusual finding of reversible cerebral vasoconstriction, presenting detailed imaging findings. We also discuss the etiology of stroke and reversible cerebral vasoconstriction, and the effect of sumatriptans and migraine on the occurrence of ischemic stroke.

Keywords:

Triptan; Migraine; Stroke; Reversible cerebral vasoconstriction; Neurology

Citation:

Oda K, Kogiku M, Abe K, Noda M, Kishi H, Morimoto D, et al. Cerebral Vasospasm and Ischemic Stroke Associated with Chronic Sumatriptan Use for Migraine Headache: A Case Report and Literature Review. Neurol Case Rep. 2019;2(2):1013.

Subscribe to Our Newsletter