Persistent migraine aura with cerebral infarction, not intractable Save
ICD-10 code: G43.60
Chapter: Diseases of the nervous system
Persistent Migraine Aura with Cerebral Infarction, not Intractable: Understanding the Condition
Persistent Migraine Aura with Cerebral Infarction (PMACI) is a rare type of migraine that is accompanied by neurological symptoms, such as visual disturbances, tingling sensations, and difficulty speaking. This condition is different from the typical migraine with aura because the symptoms persist for more than one week, and in some cases, can cause a cerebral infarction or stroke.
The term “not intractable” means that the condition is not resistant to treatment and can be managed with medication and other therapies. However, prompt diagnosis and treatment are crucial to prevent long-term complications and improve the patient’s quality of life.
Symptoms
PMACI symptoms are similar to those of a typical migraine with aura, but they persist for a longer duration. Some of the common symptoms include:
- Visual disturbances, such as flashing lights, zigzag lines, and blind spots
- Tingling or numbness in the face, arms, or legs
- Difficulty speaking or understanding speech
- Weakness or paralysis on one side of the body
- Dizziness or loss of balance
These symptoms can occur gradually or suddenly and can last for several days or weeks. In some cases, they can be accompanied by a severe headache or seizures.
Treatment
There is no cure for PMACI, but the condition can be managed with medication and other therapies. The treatment plan depends on the severity and frequency of the symptoms, as well as the patient’s overall health.
Some of the common medications used to manage PMACI include:
- Triptans, which are used to treat migraines
- Anticonvulsants, which can help prevent seizures
- Calcium channel blockers, which can help prevent cerebral infarction
In addition to medication, other therapies may be recommended, such as:
- Physical therapy to improve mobility and reduce muscle weakness
- Speech therapy to improve communication skills
- Cognitive-behavioral therapy to manage stress and anxiety
Conclusion
PMACI is a rare type of migraine that can be accompanied by neurological symptoms and can cause a cerebral infarction. However, with prompt diagnosis and treatment, the condition can be managed effectively. If you experience any of the symptoms of PMACI, it is essential to seek medical