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         Basilar Migraine:     more detail
  1. Topiramate aids basilar migraine in small study.(Clinical Rounds)(Clinical report): An article from: Pediatric News by Michele G. Sullivan, 2007-08-01
  2. 101 Simple Ways to Eliminate , StopAnd Prevent Your Headaches And Migraines Without Resorting To Drugs (Learn How To Make the Agonizing Pain of Headaches Disappear) by Dr. Waynes, 2010-01-13
  3. How To Get Rid Of Your Headache BEFORE It Starts! by Dr. Manny Samuel, 2009-08-15
  4. 101 Tips For Preventing Headaches: Learn To Live Better Without The Pain by Dr. Collin Jahason, 2009-08-20

1. Basilar Migraine
Symptoms described were eight of the 10 of the current definition of basilar migraine (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. National Headache Foundation: Basilar Migraine
basilar migraine. When migraine affects the circulation in back of the brain or 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.

3. Neurology
Other MPAmedia. Alternative Health. Site Links. Massage Therapy. MassageToday.com. Neurology. Brad McKechnie, DC, DACAN. basilar migraine basilar migraine. basilar migraine was described by Bickerstaff in 1961 as Migraine literature also groups basilar migraine in with hemiplegic migraine and ophthalmoplegic migraine
http://www.chiroweb.com/archives/11/18/02.html
Dynamic Chiropractic
September 1, 1993, Volume 11, Issue 18
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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

4. Basilar Migraine
Basilar Artery Migraine (BAM) is a subtype of "migraine with aura basilar artery migraine" with "posterior fossa migraine" under the term "basilar migraine " implying involvement of
http://www.bgsm.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:

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

6. Health Library - Basilar Migraine Headache
Illnesses Conditions. Information on diseases and health concerns, including symptoms, treatment options, and prevention. basilar migraine headache. basilar migraines are a less common form of migraine headache.
http://www.yalenewhavenhealth.com/library/healthguide/IllnessConditions/topic.as

7. BASILAR MIGRAINE
basilar migraine A form of complicated migraine headache that is characterized by 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."
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8. Vestibular Vs Basilar Migraine
Subject Vestibular vs basilar migraine Topic Area Headache Forum The Neurology and Neurosurgery Forum Question Posted By Jeannine on Sunday, January 28
http://www.medhelp.org/forums/neuro/messages/31048a.html
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?
*I have tried Imitrex and it gave me a worse headache* Is it possible to have neuro/vestibular symptoms chronically for a year with only brief periods of relief?The headaches come and go and are not as severe,oh I started the Serzone about 2 mo's after the 4 severe headaches at the beginning of 2000.

9. Basilar Artery Migraine Defined
Basilar Artery Migraine Defined. This article submitted by on 12/3/96. Author's Email TLEngland@aol.com. The following represents a personal interpretation of. medical literature related to the nature of basilar. migraine. related to migraines. basilar migraine falls under the category of complicated
http://neuro-www.mgh.harvard.edu/neurowebforum/HeadacheArticles/12.3.962.03PMBas
Basilar Artery Migraine Defined
This article submitted by on 12/3/96.
Author's Email: TLEngland@aol.com
The following represents a personal interpretation of
medical literature related to the nature of basilar
migraine. The medical sources are cited at the end of
this review. Be aware that because this is a personal
interpretation by a layperson, the likelihood of error or
misunderstanding in interpretation exists. In no way
should any information provided herein be construed as
medical advice. Always seek the advice of a physician
for any information related to migraines. Basilar Migraine falls under the category of complicated and rare forms of migraine. Basilar Migraines are sometimes called Bickerstaff Syndrome, Vertebrobasilar Migraine, and Vertebro-vascular migraine. Aside from Basilar Migraine, several additional different types of migraines exist under the category of complicated migraine. They are Retinal Migraine, Ophthalmoplegic Migraine, Hemiplegic Migraine, and are not discussed here. Complicated migraines are migrainous infarctions (inadequate oxygenation of tissue) with neurologic or visual symptoms which continue past associated pain (if any at all) for at least 24 hours. They are a complicated phenomenon involving

10. Basilar Migraines - Information / Diagnosis / Treatment / Prevention
basilar migraine Indepth discussion of the diagnosis and treatment of basilar artery migraine with information on its relationship to stroke and epilepsy.
http://www.healthcyclopedia.com/neurological-disorders/headaches/migraine/basila

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Related Topics: Chronic Illness Medical Definition: University of Newcastle-upon-Tyne Medical Dictionary: "basilar" Health News: Search millions of published articles for news on Basilar Migraines Modern Medicine Aging The Ardell Wellness Report HealthFacts Medical Post Medical Update Men's Health and the National Women's Health Report Note: Subscription required to access the full text of articles. Web Directory: Basilar Artery Migraine A good, though brief, description of basilar artery migraine from Vanderbilt Medical Center. Basilar Migraine In-depth discussion of the diagnosis and treatment of basilar artery migraine with information on its relationship to stroke and epilepsy. ChiroWeb Overview of the symptoms and diagnosis of basilar migraines.

11. National Headache Foundation: Complicated Migraine
loss of strength of muscles. There is basilar migraine, which used to 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 which 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.

12. Karyn S. Huntting's Basilar Artery Migraine (BAM) Page > Migraine Classification
The Basilar Artery Migraine (BAM) Page is the only site on the Internet devoted to this neurological disorder, also known as Bickerstaff's Syndrome and Vertebrobasilar Insufficiency. Find The Online Basilar Artery Migraine Book" About The BAM Page the International Headache Society Classification of Migraine. It lists "basilar migraine " in any form, as a separate
http://s-2000.com/bam/bam_mig_class_stds.html
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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

13. Basilar Migraine Information Diseases Database
2 synonyms or equivalents were found. basilar migraine aka/or Bickerstaff s migraine Medical information linksbasilar migraine specific sites.
http://www.diseasesdatabase.com/ddb31876.htm
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14. Re: Basilar Artery Migraine
The Neurology and Neurosurgery Forum ask the doctor medical forum for patients hosted by Med Help Intl. In Reply to Basilar Artery Migraine posted by Neil Ricardson on associated with vertebro-basilar migraine (also called. Bickerstaff type migraine). As with migraine headaches in
http://www.medhelp.org/perl6/neuro/archive/9209.html
Questions in The Neurology Forum are being answered by doctors from
The Cleveland Clinic , consistently ranked one of the best hospitals in America. Subject: Re: Basilar Artery Migraine
Forum: The Neurology and Neurosurgery Forum
Topic Area: Headache
Posted by CCF Neurology MD - AY on September 30, 1998 at 13:19:35:
In Reply to: Basilar Artery Migraine posted by Neil Ricardson on September 30, 1998 at 01:38:59:
: Doctor, my wife has been diagnosed as suffering from a Basilar
: Artery Migraine. Her symptoms are slow gait, loss of dexterity in
: limbs (sometimes down one side), slurred speech, tinitus and severe,
: though not frequent, headache pain often lasting for days. She has tried
: calcium channel blockers (flunezerine), sandomigraine, tryptonol : (doubling as an antidepressent) and parnate (also an antidepressent). : While each of these take the edge off the symptoms, they have not : resolved the condition. Our neurologist, and others we have seen, : say the migraine will go away eventually. However, she has : had it now for 11 months and it is showing no signs of abating.

15. Basilar Migraine
The category now combines the term basilar artery migraine with posterior fossa migraine under the term basilar migraine, implying involvement of the
http://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

16. Basilar Migraine Headache Medication Treatment
basilar migraine headache medication treatment organic medicenal herbs for health. basilar migraine. basilar migraine. Site Map migraine migraine headache.
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17. Basilar Migraine Cheapest Prices
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18. Blackwell Synergy - Cookie Absent
Triptans in the Treatment of basilar migraine and Migraine With Prolonged Aura. The contraindication of triptans in basilar migraine should be reconsidered.
http://www.blackwell-synergy.com/servlet/useragent?func=synergy&synergyAction=sh

19. Forum2000
Click Here. basilar migraine Forum2000 ALREADY MOVED to NEW FORUM basilar migraine Could this be a basilar migraine combined with a CSF leak?
http://s-2000.com/forum/messages/1600/1538.html?1029680475

20. 1.2.4 Basilar Migraine
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.

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