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KMID : 1034720160080010037
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Journal of Neurosonology and Neuroimaging
2016 Volume.8 No. 1 p.37 ~ p.40
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Closure of Patent Foramen Ovale in the Patient with Acute Stroke and Recurrent Chronic Migraine
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Lee Chan-Hyuk
Na Sung-In
Lee Seol-Won
Jang Hyuk-Su
Ryu Han-Uk
Jeong Seul-Ki
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Abstract
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We present a 38-year old man with right-sided hypesthesia and paresthesia. He had no traditional risk factor except smoking and recurrent migraine. Transcranial Doppler-(TCD) examination for right-to-left shunt (RLS) revealed the highest degrees of microbubble signals. Transesophageal echocardiography showed 18 mm-sized patent foramen ovale (PFO) and functional RLS. After the PFO closure, the follow-up TCD presented no evidence of RLS and, the migraine was relieved. Patients with cryptogenic stroke and recurrent migraine with PFO could be thought carefully for its closure.
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KEYWORD
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Cryptogenic stroke, Migraine with aura, Patent foramen ovale
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