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Migraine and Patent Foramen Ovale

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Case-Based Diagnosis and Management of Headache Disorders

Part of the book series: Headache ((HEAD))

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Abstract

A 50-year-old shop assistant was admitted to my clinic from the cardiologist for neurological examination before planned patent foramen ovale (PFO) closure. The woman reported that she suffers from an episodic migraine since her 20s. Approximately four times a month, she has severe pulsating headache attacks accompanied by nausea, phono-, and photophobia. Pain is aggravated by routine physical activity and she prefers to lie down and sleep. Sometimes she sees flickering lights for approximately 15 min in terms of a visual aura before headache starts. When pain gets worse she takes ibuprofen which shows some beneficial effect. A prophylactic medication has never been tried.

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Suggested Reading

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Authors and Affiliations

  1. Department of Neurology, Westgerman Headache Center, University Hospital Essen, Hufelandstr. 55, Essen, NRW, 45127, Germany

    Dagny Holle

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  1. Dagny Holle
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Correspondence to Dagny Holle .

Editor information

Editors and Affiliations

  1. Cerrahpasa School of Medicine, Istanbul University, Istanbul, Turkey

    Aksel Siva

  2. Headache Medical Center Seilerstaette Linz, Hospital Sisters of Charity, Linz, Austria

    Christian Lampl

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© 2015 Springer International Publishing Switzerland

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Holle, D. (2015). Migraine and Patent Foramen Ovale. In: Siva, A., Lampl, C. (eds) Case-Based Diagnosis and Management of Headache Disorders. Headache. Springer, Cham. https://doi.org/10.1007/978-3-319-06886-2_11

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  • DOI: https://doi.org/10.1007/978-3-319-06886-2_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-06885-5

  • Online ISBN: 978-3-319-06886-2

  • eBook Packages: MedicineMedicine (R0)

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