1. Basilar Migraine Indepth discussion of the diagnosis and treatment of basilar artery migraine with information on Category Health Conditions and Diseases Migraine Basilar...... Symptoms described were eight of the 10 of the current definition of basilarmigraine (see above). Caplan LR basilar migraine letter. http://www.wfubmc.edu/neurology/students/bam2.html

Basilar Artery Migraine OUTLINE Definition Discovery and Description Differential Diagnosis Pathogenesis ... Go to Migraine Page Definition Basilar Artery Migraine (BAM) is a subtype of "migraine with aura" in the new IHS classification scheme. The category now combines the term "basilar artery migraine" with "posterior fossa migraine" under the term "basilar migraine," implying involvement of the basilar artery and its branches to the brainstem as well as the posterior cerebral arteries (Baloh and Harker, 1993). Under the current classification, the migranous episode must meet the criteria for "migraine with aura," and then also meet the following criteria for BAM. Basilar Artery Migraine: Pt. must have two (2) or more of the following symptoms: Note that although the headache associated with BAM is almost invariably bioccipital, the patient does NOT have to have a headache to meet the criteria for BAM. Discovery and Description The term "basilar artery migraine" was coined by E.R. Bickerstaff in 1961 in a paper to the Lancet (Bickerstaff, 1961). Dr. Bickerstaff had noticed several patients with a migraine-type headache whose symptoms were more consistent with the vertebrobasilar circulation of the brain than the internal carotid artery (ICA) circulation. The latter had been deemed by researchers to be the cause of symptoms in most migraine sufferers. Bickerstaff felt that if the ICA could be at fault, the vertebrobasilar circulation could just as easily be affected by whatever process was occuring to cause migraine. He described BAM in 34 patients, 26 of whom were adolescent girls. A typical description from his paper is as follows:

2. Neurology around discussion of Ergotamine treatment, which should not be used in patients with Basilar Artery Migraine. (12/97) http://www.chiroweb.com/archives/11/18/02.html

Search ChiroWeb! Other MPAmedia Alternative Health Site Links Acupuncture AcupunctureToday.com Massage Therapy MassageToday.com Neurology Brad McKechnie, DC, DACAN Basilar Migraine Basilar migraine was described by Bickerstaff in 1961 as a rare variant of migraine which frequently affects young women and girls and bears a strong relationship with menses.1 The condition is also known as basilar artery migraine, Bickerstaff's migraine, and syncopal migraine. Migraine literature also groups basilar migraine in with hemiplegic migraine and ophthalmoplegic migraine under the heading of "complicated migraines." Basilar migraine has since been shown to affect all age groups and both sexes with the usual migraine female predominance.2 The basilar migraine has been described by the Headache Classification Committee of the International Headache Society as "a migraine with aura symptoms clearly originating from the brainstem or from both occipital lobes." The aura phase of the migraine is due to transient brainstem and cerebellar ischemia, which can be mistaken for a transient ischemic attack of the vertebrobasilar circulation. The symptoms noted in the aura phase of the basilar artery migraine are the result of a combination of disturbances in the cerebellum, brainstem, and occipital lobes, which generally last for less than one hour. The aura phase usually begins with a bilateral disturbance of vision that may occasionally progress to temporary blindness. Visual symptoms are followed by varying combinations of ataxia, dysarthria, bilateral vertigo, tinnitus, changing levels of consciousness, bilateral paresthesias of the limbs, face, and tongue, and quadriparesis. Other brainstem- related symptoms less commonly noted include nystagmus, diplopia, and decreases in hearing.1-9

3. Basilar Migraine basilar migraine. Brad McKechnie, DC, DACAN. basilar migraine was described by Bickerstaff in 1961 as a rare variant of http://www.chiroweb.com/hg/11/18/02.html

Basilar Migraine Brad McKechnie, DC, DACAN Basilar migraine was described by Bickerstaff in 1961 as a rare variant of migraine which frequently affects young women and girls and bears a strong relationship with menses.1 The condition is also known as basilar artery migraine, Bickerstaff's migraine, and syncopal migraine. Migraine literature also groups basilar migraine in with hemiplegic migraine and ophthalmoplegic migraine under the heading of "complicated migraines." Basilar migraine has since been shown to affect all age groups and both sexes with the usual migraine female predominance.2 The basilar migraine has been described by the Headache Classification Committee of the International Headache Society as "a migraine with aura symptoms clearly originating from the brainstem or from both occipital lobes." The aura phase of the migraine is due to transient brainstem and cerebellar ischemia, which can be mistaken for a transient ischemic attack of the vertebrobasilar circulation. The symptoms noted in the aura phase of the basilar artery migraine are the result of a combination of disturbances in the cerebellum, brainstem, and occipital lobes, which generally last for less than one hour. The aura phase usually begins with a bilateral disturbance of vision that may occasionally progress to temporary blindness. Visual symptoms are followed by varying combinations of ataxia, dysarthria, bilateral vertigo, tinnitus, changing levels of consciousness, bilateral paresthesias of the limbs, face, and tongue, and quadriparesis. Other brainstem- related symptoms less commonly noted include nystagmus, diplopia, and decreases in hearing.1-9

4. Basilar Migraine Welcome to the WebMD Mental Health Center, learn about symptoms, treatments and more for Basilar Artery Migraine. http://www.toddtroost.com/students/bam2.html

Basilar Artery Migraine OUTLINE Definition Discovery and Description Differential Diagnosis Pathogenesis ... Go to Migraine Page Definition Basilar Artery Migraine (BAM) is a subtype of "migraine with aura" in the new IHS classification scheme. The category now combines the term "basilar artery migraine" with "posterior fossa migraine" under the term "basilar migraine," implying involvement of the basilar artery and its branches to the brainstem as well as the posterior cerebral arteries (Baloh and Harker, 1993). Under the current classification, the migranous episode must meet the criteria for "migraine with aura," and then also meet the following criteria for BAM. Basilar Artery Migraine: Pt. must have two (2) or more of the following symptoms: visual symptoms (bilateral temporal and nasal fields) double vision dysarthria ataxia vertigo tinnitus bilateral paresthesia decreased hearing decreased level of consciousness bilateral paresis Note that although the headache associated with BAM is almost invariably bioccipital, the patient does NOT have to have a headache to meet the criteria for BAM. Discovery and Description The term "basilar artery migraine" was coined by E.R. Bickerstaff in 1961 in a paper to the

5. Vestibular Vs Basilar Migraine Subject Vestibular vs basilar migraine Topic Area Headache Forum The Neurologyand Neurosurgery Forum Question Posted By Jeannine on Sunday, January 28 http://www.medhelp.org/forums/neuro/messages/31048a.html

Advertisement Welcome to Med Help International A not-for-profit organization Questions in The Neurology Forum are being answered by doctors from The Cleveland Clinic , consistently ranked one of the best hospitals in America. Subject: Vestibular vs Basilar Migraine Topic Area: Headache Forum: The Neurology and Neurosurgery Forum Question Posted By: Jeannine on Sunday, January 28, 2001 Hello and thank you for your time, I have had:BSER-OK ENG/ABR positional test= nystgmus 3 out of 7 positions,indicates vestibular dysfunction cannot be further localized,caloric weakness 7% left ear, directional prepoderance 11% to the left, EKG-OK, MRA-OK, MRI on 3/99-OK,this was for nausea and vomiting,I had been diag with idiopathic gastroparesis on 2/98 and recently colonic inertia/pelvic floor dysfunction.My current health is "poor" I am 5'10" and weigh 104 I have lost 20 lbs with the gastroparesis. My questions: Are vestibular and basilar migraine "one and the same" or can just the vestibular blood vessels be effected? Could the coma event be from basilar migraine?

6. BASILAR MIGRAINE basilar migraine A form of complicated migraine headache that is characterizedby the addition of bilateral visual symptoms, paresthesias, confusion, stupor http://www.medhelp.org/glossary2/new/GLS_0677.HTM

BASILAR MIGRAINE - A form of complicated migraine headache that is characterized by the addition of bilateral visual symptoms, paresthesias , confusion, stupor , rarely coma , aggressive outbursts, slurred speech, double, vision, and vertigo . Alternating hemiplegias (one-sided weakness) have also been attributed to basilar migraine . May also exist with only some of the aforementioned symptoms as a "partial basilar syndrome." Med Help Home Search Ask the Doctor Patient Network The medical glossary has been made possible by a generous donation from:

7. Karyn S. Huntting's Basilar Artery Migraine Page > Migraine Classification Stand indeed those commonly associated with vertebrobasilar migraine (also called http://s-2000.com/bam/bam_mig_class_stds.html

Home About New Bookstore ... Feedback Migraine Classification Standards Following is the International Headache Society Classification of Migraine. It lists "Basilar Migraine," in any form, as a separate category of migraine under the "Migraine with aura" classification. International Headache Society Classification of Migraine * 1.1 Migraine without aura * 1.2 Migraine with aura * 1.2.1 Migraine with typical aura * 1.2.2 Migraine with prolonged aura * 1.2.3 Familial hemiplegic migraine * 1.2.4 Basilar migraine * 1.2.5 Migraine aura without headache * 1.2.6 Migraine with acute onset aura * 1.3 Opthalmoplegic migraine * 1.4 Retinal migraine * 1.5 Childhood periodic syndromes that may be precursors to or associated with migraine * 1.5.1 Benign paroxysmal vertigo of childhood * 1.5.2 Alternating hemiplegia of childhood * 1.6 Complications of migraine * 1.6.1 Status migrainous * 1.6.2 Migrainous infarction * 1.7 Migrainous disorder not fulfilling above criteria Click Here to Visit Karyn's Other Web Sites! free stuff humor sweepstakes living ... Karyn S. Huntting

8. Health Library - Basilar Migraine Headache basilar migraine headache. basilar migraines are a less common formof migraine headache. This type of migraine occurs most often http://yalenewhavenhealth.org/library/healthguide/IllnessConditions/topic.asp?hw

9. Basilar Migraine Headache Print This Page. Email to a Friend. basilar migraine headache. Basilarmigraines are a less common form of migraine headache. This http://www.meritcare.com/hwdb/_followLink.asp?sgml_id=tm6290

10. Basilar Migraine basilar migraine. basilar migraine is thought to involve the basilarartery at the Circle of Willis and result in numerous bizarre http://www.pediatric-emergency.com/migraine.htm

Basilar Migraine Basilar migraine is thought to involve the basilar artery at the Circle of Willis and result in numerous bizarre manifestations that are not necessarily associated with headache. The few patients I have seen with this condition have very sudden onset, unlike our patient, and the syndrome resolves relatively quickly as well (within 24 hours). Based on blood and CSF tests, as well as MRI, our patient was thought to have a post-viral white matter change in the left cerebral hemisphere causing a defect in the frontal eye fields partly responsible for congugate horizontal eye movements. © Jay D. Fisher MD (1/20/98)

11. Health Library - Basilar Migraine Headache basilar migraine headache. basilar migraines are a less common formof migraine headache. This type of migraine occurs most often http://www.laurushealth.com/library/healthguide/illnessconditions/topic.asp?hwid

12. Health Library - Basilar Migraine Headache Saint Luke's Health System eLibrary. basilar migraine headache. Basilarmigraines are a less common form of migraine headache. This http://hvelink.saint-lukes.org/library/healthguide/IllnessConditions/topic.asp?h

13. National Headache Foundation: Basilar Migraine basilar migraine. When migraine affects the circulation in back of the brainor neck, it can cause basilar migraine or Bickerstaff's Syndrome. http://www.headaches.org/consumer/topicsheets/basilarmigrane.html

Consumer Topics Medications Spanish Topics BASILAR MIGRAINE When migraine affects the circulation in back of the brain or neck, it can cause Basilar Migraine or Bickerstaff's Syndrome. It occu rs most frequently in young women. Dizziness, double vision, loss of balance, confusion, slurred speech, fainting and disorientation can occur. During the acute headache, some lose consciousness. Often these patients are mistakenly thought to be intoxicated, under the influence of drugs, or suffering from other conditions. A previous history of migraine is helpful in making the diagnosis. top of page

14. National Headache Foundation: Complicated Migraine loss of strength of muscles. There is basilar migraine, which usedto be called Bickerstaff's syndrome. Here patients start with a http://www.headaches.org/consumer/topicsheets/complicatedmigrane.html

Consumer Topics Medications Spanish Topics COMPLICATED MIGRAINE In all these forms there seems to be an increased risk of the migraine producing permanent neurological changes that do not go away and may also correlate with changes on the MRI scan like those seen in stroke. Medications such as the beta-blockers, triptans and ergots are often avoided in these types of headaches for fear of increasing the risk of stroke. Calcium blockers and anti epileptic drugs seem to be best for prevention. Smoking, the use of hormones in menopause and birth control pills are avoided as well again to decrease the risk of long-term problems. top of page

15. 1 Migraine......1.2.4 basilar migraine. Previously used terms Basilar artery migraine,Bickerstaff's migraine, syncopal migraine. http://www.dent.ucla.edu/sod/depts/oralfacial/courses/merrill/basilar.html

1.2.4 Basilar Migraine Previously used terms: Basilar artery migraine, Bickerstaff's migraine, syncopal migraine. Description: Migraine with aura symptoms clearly originating from the brain stem or from both occipital lobes. Diagnostic Criteria: A. Fulfills criteria for 1.2 B. Two or more aura symptoms of the following types: Visual symptoms in both the temporal and nasal fields of both eyes. Dysarthria Vertigo Tinnitus Decreased hearing Double vision Ataxia Bilateral paresthesias Bilateral pareses Decreased level of consciousness Comments: Many of the symptoms listed under the diagnostic criteria are subject to misinterpretation as they may occur with anxiety and hyperventilation. The symptoms due to brainstem function, such as vertigo, dysarthria, diplopia occur as the only neurologic symptoms of the attack in 25 percent of patients with basilar migraine. Bickerstaff described a typical sequence of neurological events that involved total blindness and sensorial clouding that was seen frequently in adolescent women. He indicated that the headache episodes began with total blindness and would be accompanied or followed by various combinations of vertigo, ataxia, dysarthria, tinnitus, and distal /perioral paresthesias. Often the patients experience a state of confusion. These symptoms often persist for 20 to 30 minutes and are generally followed by a throbbing occipital headache. The altered sensorial effects may last up to 5 days and be marked by confusion. Originally the term basilar artery migraine was used but since spasm of the basilar artery may not be the mechanism of the attacks, the term basilar migraine is preferred. Many cases have basilar attacks intermingled with attacks with typical aura. Basilar attacks are mostly seen in young adults.

16. Familial The headache is usually ipsilateral to the hemiplegia. Brainstem dysfunctionis commonly observed with the headache (see basilar migraine). http://www.dent.ucla.edu/sod/depts/oralfacial/courses/merrill/hemipleg.html

Familial Hemiplegic Migraine Description: Migraine with aura including hemiparesis and where at least one first degree relative has identical attacks. Diagnostic Criteria: A. Fulfils criteria for 1.2. B. The aura includes some degree of hemiparesis and may be prolonged. C. At least one firs degree relative has identical attacks. Comments: This disorder is marked by paralysis of the limbs on one side (hemiplegia). It may be seen as a feature of the prodromal phase and resolve as the headache appears, as with migraine. The headache is usually ipsilateral to the hemiplegia. Brainstem dysfunction is commonly observed with the headache (see Basilar Migraine). This disorder probably has the same pathophysiology as migraine with typical aura. The reason for still keeping it separate is that families have been described where attacks are strikingly identical and sometimes long lasting. The term familial hemiplegic migraine has been abused since in most families different forms of migraine occur and most patients with hemiplegic attacks have these intermingled with more frequent attacks of migraine without hemiparesis. The headache occurs in both sporadic and familial forms. Usually beginning in childhood, sometimes as early as 1-2years and generally ceasing in adulthood. The hemiplegia is usually part of the aura and may last an hour or longer. Headache follows the hemiplegia or may occur with it. There is a male predominance. CSF pleocytosis may be present (predominantly PMN's). Cerebral angiography performed during the hemiparetic attacks are usually unremarkable although constriction of the internal carotic and basilar arteries have been seen.

17. Dorlands Medical Dictionary basilar migraine, basilar artery migraine, a type of ophthalmic migraine whoseaura fills both visual fields and which may be accompanied by dysarthria and http://www.mercksource.com/pp/us/cns/cns_hl_dorlands.jspzQzpgzEzzSzppdocszSzuszS

18. Basilar Migraine basilar migraine. This response submitted by Debbie Kasarsky on 1/18/96.I wanted to thank you for your response to my article from August. http://neuro-www.mgh.harvard.edu/neurowebforum/ChildNeurologyArticles/BasilarMig

Basilar Migraine This response submitted by Debbie Kasarsky on 1/18/96. I wanted to thank you for your response to my article from August. I was beginning to thing my daughter was the only one who suffered from this problem. Except for the pinched nerve it sounds just like my daughter. I took her off the medication, because her attacks were coming more often, also she had put on 30 pounds in the 6 months she had been taking them. Like my last letter indicated, I had started to take her to a Chiropractor..I never really believed in Chiro- practors (a friend convinced me I had nothing to lose). So now she's off the medication and her attacks are getting further apart and they're not as severe. I don't know if it will make them go away completely, but it seems to be helping more for now than the medication did. I know the frustration you're going through to watch your son be so sick, so often and there's nothing you can do about it. Best of luck in your search and if they do find the right medication please let me know. Debbie Kasarsky kasarsky.debra@uis.edu

19. Re Basilar Migraine re basilar migraine. This response submitted by Terri Glover on 1/18/96.Thanks for your response Debra! Please contact me at internet http://neuro-www.mgh.harvard.edu/neurowebforum/ChildNeurologyArticles/reBasilarM

re Basilar Migraine This response submitted by Terri Glover on 1/18/96. Thanks for your response Debra! Please contact me at internet address Terri_Glover@smtpgate.tais.com I've tried to use your's and I getting an error message. Thanks for the support. Next Article Previous Article Return to Main Article Article complete. Click HERE to return to the Neurology Web-Forum Menu.

20. Identifying Migraines In Children basilar migraine Common in children, a basilar migraine occurs when the basilarartery spasms. Visual aura often occur with a basilar migraine. http://www.migraine-facts.com/html/children.php3

Identifying Migraines in Children Ten percent of children and adolescents under fifteen years of age suffer from severe headaches. Researchers suspect that the number may actually be higher as children's headaches are difficult to diagnose and are often dismissed as fatigue or just "crankiness." Young children may have difficulty explaining their symptoms to parents or doctors, making an accurate diagnosis even more difficult. Any family history of migraines should be reported to your health professional. Until puberty, children's headaches affect boys and girls at an equal rate. During adolescence, however, headaches in young women become much more common than in their male counterparts. Childhood migraines often go away with age, but may come back later in life. Symptoms in Children Symptoms in children and teens differ in some ways from those of adults. With a few exceptions, children's headaches are fortunately shorter in duration than those of adults. While young children usually experience pain on both sides of the head, teenagers, like adults, tend to experience the pain on only one side of the head. Common symptoms include: Headache Abdominal pain Diarrhea Vomiting Thirst Excessive urination Swelling Teary eyes Vertigo Sweating Dizziness.

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