Migraine cerebellar
Cerebellar migraine is a type of migraine that is accompanied by symptoms of damage to the cerebellum. The main signs of cerebellar migraine:
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Asynergy is a violation of coordination and smoothness of movements.
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Scanned speech is speech with clear pauses between syllables.
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Intentional trembling is the trembling of the limbs when performing purposeful movements.
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Impaired balance and gait.
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Dizziness.
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Nausea and vomiting.
The cause of cerebellar migraine is a violation of blood circulation in the vertebrobasilar system, which supplies blood to the cerebellum and brain stem. This may be due to spasm or narrowing of the vertebral and basilar arteries.
For diagnosis, a neurological examination and MRI of the brain are performed. Treatment is aimed at stopping the attack, preventing it, and also restoring blood flow in the affected vessels.
Cerebellar migraine: Symptoms, causes and treatment
Migraine is a chronic neurological disease characterized by recurrent attacks of intense headaches. One of the variations of this condition is cerebellar migraine, which is accompanied by cerebellar symptoms such as asynergia, scanned speech, intention tremor and others. This type of migraine is associated with circulatory disorders in the basilar and vertebral arteries.
Cerebellar migraine is a rare form of migraine and accounts for about 1% of all migraine cases. It is more common in children and adolescents, but can also occur in adults. This condition is associated with defects or abnormalities in the structure or functioning of the cerebellum, which plays an important role in coordinating movements and maintaining balance.
Symptoms of a cerebellar migraine may include a unilateral headache that can be very intense and long-lasting, as well as accompanied by nausea, vomiting and a feeling of dizziness. However, what distinguishes cerebellar migraine from other forms of migraine is the presence of cerebellar symptoms. Asynergia, or lack of coordination of movements, can manifest itself in unsteady gait, loss of balance and difficulty performing precise movements. Scanned speech is characterized by intermittent, uneven pronunciation of words, and intention tremor manifests itself in involuntary trembling movements of the limbs when attempting to perform purposeful movements.
The cause of cerebellar migraine is circulatory disorders that affect the functioning of the cerebellum. This may be due to narrowing or blockage of the arteries that carry blood to the cerebellum. Such disorders can be caused by various factors, including atherosclerosis, thrombosis, embolism, or vascular abnormalities.
The diagnosis of cerebellar migraine is based on typical symptoms, the patient's medical history, and neuroimaging findings such as magnetic resonance angiography (MRA) and computed tomography (CT). It is important to distinguish cerebellar migraine from other possible causes of symptoms, such as vascular disorders or a brain tumor.
Treatment of cerebellar migraine includes several aspects. First, applying general measures such as regular rest, stress management, maintaining a healthy lifestyle and avoiding triggers that may trigger migraine attacks. In addition, your doctor may prescribe medications to relieve pain and symptoms, such as analgesics, anti-inflammatory drugs, or anti-migraine medications.
In some cases, surgery may be required, especially if cerebellar migraine is associated with vascular abnormalities. An example of such a procedure would be endovascular or surgical vascular reconstruction to restore normal blood flow to the cerebellum.
It is important to note that each case of cerebellar migraine is different and treatment must be appropriate for each patient. Therefore, it is important to see a qualified neurologist or headache specialist for an accurate diagnosis and development of an individualized treatment plan.
In conclusion, cerebellar migraine is a rare type of migraine that is accompanied by cerebellar symptoms. This condition is associated with circulatory disorders in the basilar and vertebral arteries. Diagnosis is based on typical symptoms and neuroimaging findings. Treatment includes general measures, medications to relieve symptoms, and in some cases surgery. It is important to consult a specialist to obtain an accurate diagnosis and treatment plan that will suit the individual needs of the patient.