A woman in her 40s with an unusual migraine attack.

Migrainous infarction is a rare but serious complication of migraine with aura. It affects 0.5-1.5% of all ischaemic strokes. Women using oral contraceptives face increased stroke risks. This study describes a woman in her forties with a history of migraines. She experienced visual auras and then developed neurological symptoms. These included vertigo, visual disturbances in her left eye, and left-sided numbness. Afterward, she had a severe headache at the front and back of her head. An MRI scan showed two small brain infarcts in her right occipital and posterior parietal lobes. This finding confirmed the diagnosis of migrainous infarction. Extensive tests showed no other causes for her condition. The patient received treatment with dual antiplatelet therapy to manage her symptoms and prevent further issues. Understanding this condition is crucial for proper diagnosis and treatment in similar patients. Clinical relevance: This research highlights the importance of monitoring migraine patients for potential serious complications like migrainous infarction.