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Neuroradiology. 1997 Nov;39(11):781-4.

MELAS presenting as migraine complicated by stroke: case report.

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Department of Neurosurgery, Tokyo Medical and Dental University, Japan.


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.

[Indexed for MEDLINE]

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