Abstract
A case of MELAS (mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes) which presented as migraine complicated by stroke is reported. Strokes associated with migraine have often been reported, but the mechanism remains unclear and may include a variety of pathologies. MELAS also presents with migrainous headache, vomiting, and stroke-like symptoms. Magnetic resonance imaging demonstrates characteristic findings. MELAS should be considered in the differential diagnosis of infarct-like lesions with migrainous headaches in young adults, especially if the symptoms fluctuate and are accompanied by a homonymous hemianopia.
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Received: 23 September 1996 Accepted: 19 February 1997
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Ohno, K., Isotani, E. & Hirakawa, K. MELAS presenting as migraine complicated by stroke: case report. Neuroradiology 39, 781–784 (1997). https://doi.org/10.1007/s002340050505
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DOI: https://doi.org/10.1007/s002340050505