BASILAR ARTERY MIGRAINE

SYMPTOMS

The symptoms of basilar artery migraines can vary widely from person to person but often include:

• Intense throbbing or pulsating headache
• Flashing lights
• Blind spots
• Partial loss of vision (scotoma)
• Vertigo
• Dizziness
• Aphasia
• Dysphasia
• Ataxia
• Clumsiness
• Altered Consciousness

DIAGNOSIS

Diagnosis of basilar artery migraine is based on a thorough medical history, physical examination, and assessment of symptoms. Diagnostic tests may be performed to rule out other conditions and confirm the diagnosis, including:

• Neurological Examination: Assessment of reflexes, coordination, strength, sensation, and mental status to evaluate brainstem function.
• Brain Imaging: Imaging studies such as magnetic resonance imaging (MRI) or computed tomography (CT) scans may be ordered to rule out structural abnormalities, stroke, or other brain lesions.
• Electroencephalogram (EEG): This test measures electrical activity in the brain and may be used to evaluate for seizure activity or abnormal brainwave patterns.

TREATMENT

Treatment of basilar artery migraines aims to alleviate symptoms, prevent future attacks, and improve quality of life. Treatment strategies may include:

• Acute Medications: Pain-relieving medications such as nonsteroidal anti-inflammatory drugs (NSAIDs), triptans, or ergotamines may be prescribed to relieve headache pain during an acute attack.
• Preventive Medications: Medications used to prevent migraine attacks may be prescribed for individuals with frequent or severe basilar artery migraines. These may include beta-blockers, calcium channel blockers, tricyclic antidepressants, antiepileptic drugs, or botulinum toxin injections.
• Lifestyle Modifications: Lifestyle changes such as stress management, regular exercise, adequate sleep, and dietary modifications may help reduce the frequency and severity of migraine attacks.
• Biofeedback and Relaxation Techniques: Techniques such as biofeedback, meditation, yoga, and progressive muscle relaxation may help manage stress and reduce the frequency of migraine attacks.

In severe cases of basilar artery migraines that do not respond to conservative treatments, more invasive interventions such as nerve blocks, occipital nerve stimulation, or surgical procedures may be considered.