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Wiley InterScience

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Stroke in Migraine as a Consequence of Propranolol
Avelina Bardwell , M.D. Justina A. Trott , M.D.
Copyright © 1987 American Headache Society (formerly the American Association for the Study of Headache)

ABSTRACT

SYNOPSIS

There have been two previous case reports of complicated migraine headaches associated with the use of beta blockers. In this article we report a third case of complicated migraine in a patient with longstanding migraine headaches taking propranolol for hypertension. Visual field testing demonstrated a left homonymous hemianopsia and CT scan revealed a low density defect in the left posterior parietal-occipital area without enhancement. A review of the literature on stroke in migraine and the mechanism of action of beta-blockers are included. We question the appropriateness of the use of beta-blocking agents for prophylaxis of migraines associated with or preceded by conspicuous sensory or motor deficits.


Accepted for Publication: July 7, 1987

DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1526-4610.1987.hed2707381.x About DOI

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