{"pk":864,"title":"Detection of Migrainous Infarction with Formal Visual Field Testing: A Case Report","subtitle":null,"abstract":"Introduction:\n Cerebrovascular accidents (CVA) of the posterior circulation are a rare complication of migraine, and present with atypical CVA symptomatology.\nCase Report:\n A 49-year-old-male presented with complaint of persistent visual aura and resolved mild cephalgia. His exam corroborated his reported incomplete left inferior quadrantanopia, and was confirmed by immediate formal optometry evaluation. Occipital CVA was confirmed on admission.\nConclusion:\n Migrainous strokes of posterior circulation should be considered as a potential diagnosis in any headache patient with persistent visual aura. This case suggests that incorporation of formal visual field testing in the emergent setting can shorten the time required for diagnosis in certain circumstances.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"cerebrovascular accident"},{"word":"homonymous hemianopsia"},{"word":"migraine"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0625v6dq","frozenauthors":[{"first_name":"William","middle_name":"","last_name":"Bylund","name_suffix":"","institution":"Naval Hospital Okinawa, Department of Emergency Medicine, Okinawa, Japan","department":"None"},{"first_name":"Ross","middle_name":"","last_name":"Patrick","name_suffix":"","institution":"Naval Hospital Okinawa, Department of Internal Medicine, Okinawa, Japan","department":"None"},{"first_name":"Ann","middle_name":"","last_name":"Macdonald","name_suffix":"","institution":"Naval Hospital Okinawa, Department of Optometry, Okinawa, Japan","department":"None"}],"date_submitted":"2020-07-10T04:02:11+02:00","date_accepted":"2020-07-10T04:02:11+02:00","date_published":"2020-07-10T04:03:37+02:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/864/galley/613/download/"}]}