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Migraine headaches following mitral valvuloplasty: Koch's postulates finally satisfied?

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Date
2013-06
Authors
Abernethy, Abraham
Ruiz-Rodriguez, Ernesto
Krasuski, Richard A
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Abstract
The relationship between patent foramen ovale and migraine headache is a topic surrounded by much controversy. We present the case of a 45-year-old woman who underwent successful percutaneous mitral balloon valvuloplasty for rheumatic mitral valve stenosis, but had an immediate postprocedural course complicated by refractory migraine headaches. Interestingly, resolution of her headaches coincided with the spontaneous closure of the interatrial communication created during valvuloplasty. This suggests interatrial flow as an important trigger for migraine headaches in this patient.
Type
Journal article
Subject
Atrial Septum
Balloon Valvuloplasty
Echocardiography, Doppler, Color
Female
Foramen Ovale, Patent
Humans
Middle Aged
Migraine Disorders
Mitral Valve Stenosis
Permalink
https://hdl.handle.net/10161/10993
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Scholars@Duke

Krasuski

Richard Andrew Krasuski

Professor of Medicine
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