| A Case of Migraine with Aura Related to the Percutaneous Closure of Atrial Septal Defect. |
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Joon Hyung Yeo, Sang Wook Kim, Yeoun Sook Chun |
1Department of Ophthalmology, Chung-Ang University College of Medicine, Seoul, Korea. yschun100@hanmail.net
2Department of Cardiology, Chung-Ang University College of Medicine, Seoul, Korea. |
| 심방중격결손폐쇄술 후 발생한 시각 조짐을 동반한 편두통 1예 |
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여준형1⋅김상욱2⋅전연숙1 |
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중앙대학교 의과대학 안과학교실1, 중앙대학교 의과대학 순환기내과학교실2 |
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| Abstract |
PURPOSE
To report a case of migraine attacks with aura that occurred after percutaneous closure of an atrial septal defect (ASD) with the Amplatzer septal occluder device. CASE SUMMARY: A 58-year-old female presented with glare and scintillation that lasted 3 days. She had a history of percutaneous ASD intervention 3 weeks prior. Because ophthalmologic examination revealed nothing remarkable, the patient underwent observation. However, two months later, she revisited our department, presenting with aggravated glare, scintillation, and severe photophobia. Also, she presented with scintillation followed by a headache starting from the right temporal area extending to the occipital area. The patient was diagnosed with migraine with aura, which was newly developed after percutaneous ASD closure. After switching medication from acetylsalicylic acid to clopidogrel, the frequency and intensity of the headaches were reduced. No recurrence of ophthalmic symptoms or headache was observed during the 1-year follow-up. CONCLUSIONS: Percutaneous closure of ASD can be complicated by the appearance of migraine attacks with aura. When patients present with glare and scintillation, ophthalmologists must consider the possibility of migraine with aura and migraine induced by secondary causes. Thus, detailed history taking should be taken in order to make an early diagnosis of migraine. |
| Key Words:
Atrial septal defect;Migraine with aura |
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