Migraine-like headache in subjects with isolated Lambl’s excrescences: a case series and literature review

Lambl's excrescences are mobile, thin, fibrinous connective tissue strands typically found on left-sided cardiac values. Migraine is positively associated with structural cardiac anomalies. However, it remains unclear whether Lambl's excrescences are associated with migraine. Retrospective...

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Vydáno v:International journal of neuroscience Ročník 135; číslo 3; s. 304 - 312
Hlavní autoři: Xie, Wei, Wang, Xiaoguang, Li, Ruibing, Jia, Zhihua, Miao, Shuai, Liu, Yang, Yang, Chunxiao, Li, Chenhao, Zhao, He, Yu, Shengyuan, Liu, Ruozhuo
Médium: Journal Article
Jazyk:angličtina
Vydáno: England 04.03.2025
Témata:
Adult
Female
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Migraine Disorders - diagnostic imaging
Migraine Disorders - etiology
Retrospective Studies
microemboli
Lambl’s excrescences
headache
migraine-like headache
ischemic stroke
ISSN:0020-7454, 1563-5279, 1543-5245, 1563-5279
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Shrnutí:Lambl's excrescences are mobile, thin, fibrinous connective tissue strands typically found on left-sided cardiac values. Migraine is positively associated with structural cardiac anomalies. However, it remains unclear whether Lambl's excrescences are associated with migraine. Retrospective review of 182 inpatients with Lambl's excrescences confirmed by transesophageal echocardiogram in Chinese PLA General Hospital since January 2010. Among them, those with isolated Lambl's excrescences presented with migraine-like headache were included. We collected information on the demographics and clinical profiles of all participants, and performed follow-up visits. A total of 8 patients presented with migraine-like headache among 15 patients with isolated Lambl's excrescences. They included 2 men and 6 women, with an average age of 44.63 ± 12.24 years. Among these patients, 3 had visual aura, and 6 manifested infarct-like lesions on magnetic resonance imaging, of which 2 developed lesions after first visit. During follow-up, 4 patients suffering from intervention for Lambl's excrescences dramatically reduced headache recurrence compared to the other 4 patients only receiving migraine preventive medications. This study supports the hypothesis that microemboli from isolated Lambl's excrescences could cause migraine-like headache. And intervention for Lambl's excrescences may be crucial for preventing headache recurrence.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Review-3
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ObjectType-Case Study-5
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ISSN:0020-7454
1563-5279
1543-5245
1563-5279
DOI:10.1080/00207454.2023.2300357