Migrainous infarction of the eye: Two cases of monocular ischemic complications associated with retinal migraine

Nikita Chhabra; Chia Chun Chiang; Marie A. Di Nome; Odette Houghton; Rachel E. Carlin; Cumara B. O’Carroll; David W. Dodick; Oana M. Dumitrascu

doi:10.1177/03331024211056286

Migrainous infarction of the eye: Two cases of monocular ischemic complications associated with retinal migraine

Nikita Chhabra, Chia Chun Chiang, Marie A. Di Nome, Odette Houghton, Rachel E. Carlin, Cumara B. O’Carroll, David W. Dodick, Oana M. Dumitrascu

Neurology

Research output: Contribution to journal › Article › peer-review

Abstract

Background: Retinal migraine is defined by fully reversible monocular visual phenomena. We present two cases that were complicated by permanent monocular vision deficits. Cases: A 57-year-old man with history of retinal migraine experienced persistent monocular vision loss after one stereotypical retinal migraine, progressing to finger-count vision over 4 days. He developed paracentral acute middle maculopathy that progressed to central retinal artery occlusion. A 27-year-old man with history of retinal migraine presented with persistent right eye superotemporal scotoma after a retinal migraine. Relative afferent pupillary defect and superotemporal visual field defect were noted, consistent with ischemic optic neuropathy. Conclusion: Retinal migraine can complicate with permanent monocular visual loss, suggesting potential migrainous infarction of the retina or optic nerve. A thorough cerebrovascular evaluation must be completed, which was unrevealing in our cases. Acute and preventive migraine therapy may be considered in retinal migraine patients, to mitigate rare but potentially permanent visual loss.

Original language	English (US)
Pages (from-to)	553-556
Number of pages	4
Journal	Cephalalgia
Volume	42
Issue number	6
DOIs	https://doi.org/10.1177/03331024211056286
State	Published - May 2022

Keywords

Retinal migraine
infarction
migrainous infarction
paracentral acute middle maculopathy
vision loss
visual aura

ASJC Scopus subject areas

Clinical Neurology

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10.1177/03331024211056286

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title = "Migrainous infarction of the eye: Two cases of monocular ischemic complications associated with retinal migraine",

abstract = "Background: Retinal migraine is defined by fully reversible monocular visual phenomena. We present two cases that were complicated by permanent monocular vision deficits. Cases: A 57-year-old man with history of retinal migraine experienced persistent monocular vision loss after one stereotypical retinal migraine, progressing to finger-count vision over 4 days. He developed paracentral acute middle maculopathy that progressed to central retinal artery occlusion. A 27-year-old man with history of retinal migraine presented with persistent right eye superotemporal scotoma after a retinal migraine. Relative afferent pupillary defect and superotemporal visual field defect were noted, consistent with ischemic optic neuropathy. Conclusion: Retinal migraine can complicate with permanent monocular visual loss, suggesting potential migrainous infarction of the retina or optic nerve. A thorough cerebrovascular evaluation must be completed, which was unrevealing in our cases. Acute and preventive migraine therapy may be considered in retinal migraine patients, to mitigate rare but potentially permanent visual loss.",

keywords = "Retinal migraine, infarction, migrainous infarction, paracentral acute middle maculopathy, vision loss, visual aura",

author = "Nikita Chhabra and Chiang, {Chia Chun} and {Di Nome}, {Marie A.} and Odette Houghton and Carlin, {Rachel E.} and O{\textquoteright}Carroll, {Cumara B.} and Dodick, {David W.} and Dumitrascu, {Oana M.}",

note = "Publisher Copyright: {\textcopyright} International Headache Society 2021.",

year = "2022",

month = may,

doi = "10.1177/03331024211056286",

language = "English (US)",

volume = "42",

pages = "553--556",

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T1 - Migrainous infarction of the eye

T2 - Two cases of monocular ischemic complications associated with retinal migraine

AU - Chhabra, Nikita

AU - Chiang, Chia Chun

AU - Di Nome, Marie A.

AU - Houghton, Odette

AU - Carlin, Rachel E.

AU - O’Carroll, Cumara B.

AU - Dodick, David W.

AU - Dumitrascu, Oana M.

N1 - Publisher Copyright: © International Headache Society 2021.

PY - 2022/5

Y1 - 2022/5

N2 - Background: Retinal migraine is defined by fully reversible monocular visual phenomena. We present two cases that were complicated by permanent monocular vision deficits. Cases: A 57-year-old man with history of retinal migraine experienced persistent monocular vision loss after one stereotypical retinal migraine, progressing to finger-count vision over 4 days. He developed paracentral acute middle maculopathy that progressed to central retinal artery occlusion. A 27-year-old man with history of retinal migraine presented with persistent right eye superotemporal scotoma after a retinal migraine. Relative afferent pupillary defect and superotemporal visual field defect were noted, consistent with ischemic optic neuropathy. Conclusion: Retinal migraine can complicate with permanent monocular visual loss, suggesting potential migrainous infarction of the retina or optic nerve. A thorough cerebrovascular evaluation must be completed, which was unrevealing in our cases. Acute and preventive migraine therapy may be considered in retinal migraine patients, to mitigate rare but potentially permanent visual loss.

AB - Background: Retinal migraine is defined by fully reversible monocular visual phenomena. We present two cases that were complicated by permanent monocular vision deficits. Cases: A 57-year-old man with history of retinal migraine experienced persistent monocular vision loss after one stereotypical retinal migraine, progressing to finger-count vision over 4 days. He developed paracentral acute middle maculopathy that progressed to central retinal artery occlusion. A 27-year-old man with history of retinal migraine presented with persistent right eye superotemporal scotoma after a retinal migraine. Relative afferent pupillary defect and superotemporal visual field defect were noted, consistent with ischemic optic neuropathy. Conclusion: Retinal migraine can complicate with permanent monocular visual loss, suggesting potential migrainous infarction of the retina or optic nerve. A thorough cerebrovascular evaluation must be completed, which was unrevealing in our cases. Acute and preventive migraine therapy may be considered in retinal migraine patients, to mitigate rare but potentially permanent visual loss.

KW - Retinal migraine

KW - infarction

KW - migrainous infarction

KW - paracentral acute middle maculopathy

KW - vision loss

KW - visual aura

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Migrainous infarction of the eye: Two cases of monocular ischemic complications associated with retinal migraine

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Keywords

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