Basilar artery migraine (headache)

About Basilar artery migraine (headache)

A rare condition characterized by headache associated with a variety of neurological symptoms. The condition is caused by a disturbance of the basilar artery which is located in the back of the brain (brainstem). These headaches are 3 times more common in women than men. The following triggers can cause these migraines in susceptible patients: alcohol, stress, sleep deprivation, intense exercise, female hormonal changes, bright lights, caffeine, and certain medications.

Symptoms

Headache, vertigo, dizziness, nausea, vomiting, visual abnormalities, incoordination, confusion.

Tests & Diagnostics

A history and physical exam will be performed. Imaging studies (CT, MRI, CT angiogram) are sometimes necessary to rule out arterial dissection that can sometimes mimic basilar artery migraine.

Common tests: CT Scan, MRI.

Path 3 — Prescription Options

Prescription medications

Conventional treatment summary

Removal of triggers. Birth control pills and hormonal replacement therapy should be discontinued to prevent stroke. Pain medications and anti-nausea medications are administered for acute attacks.

Medical specialties

Neurology · Pediatric Neurology

This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Basilar artery migraine (headache).