- Chan-Hyuk Lee, MD, Sung-In Na, MD, Seol-Won Lee, MD, Hyuk-Su Jang, MD, Han Uk Ryu, MD, Seul-Ki Jeong, MD, PhD
- Department of Neurology, Chonbuk National University Hospital, Chonbuk National University Medical School, Jeonju, Korea
We present a 38-year old man with right-sided hypesthesia and paresthesia. He had no traditional
risk factor except smoking and recurrent migraine. Transcranial Doppler-(TCD) examination for
right-to-left shunt (RLS) revealed the highest degrees of microbubble signals. Transesophageal
echocardiography showed 18 mm-sized patent foramen ovale (PFO) and functional RLS. After the
PFO closure, the follow-up TCD presented no evidence of RLS and, the migraine was relieved.
Patients with cryptogenic stroke and recurrent migraine with PFO could be thought carefully for its
closure.
Journal of Neurosonology 8(1):37-40, 2016
Key Words: Cryptogenic stroke, Migraine with aura, Patent foramen ovale
