Basilar artery migraine. A review of 30 cases
M. L. Lapkin and G. S. Golden
Thirty patients with basilar artery migraine were followed up for a period
of six months to three years. The mean age of onset was 7 years. The
patients were seen with recurrent transient attacks of neurological
disturbances localized to the vertebrobasilar arterial tree. Attacks often
included pulsatile cephalagia. A history of migraine was present in 86% of
the families studied. The majority of family members with migraine were
female and on the maternal side. Permanent neurological residua developed
in only one patient. There was a tendency for attacks to be more severe
with an older age of onset. Basilar artery migraine is a migraine variant
that may affect children from late infancy through adolescence.