{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T03:28:54Z","timestamp":1747193334539,"version":"3.40.5"},"reference-count":16,"publisher":"S. Karger AG","issue":"3","license":[{"start":{"date-parts":[[2017,10,24]],"date-time":"2017-10-24T00:00:00Z","timestamp":1508803200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2017,10,24]],"date-time":"2017-10-24T00:00:00Z","timestamp":1508803200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Rep Neurol"],"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Background:&lt;\/i&gt;&lt;\/b&gt; Stroke in a migraine with aura has been documented in several cases, even deserving the merit of a classification as complicated migraine. Herein, we present a rare case of migrainous infarct without aura. The diagnosis was challenging due to lack of risk factors. The patient was unique in not having any other comorbidities. &lt;b&gt;&lt;i&gt;Case Presentation:&lt;\/i&gt;&lt;\/b&gt; The case is of a 21-year-old female presenting with right-sided hemiplegia and facial drooping. She had had an index presentation of throbbing headaches for the past 2 years, typical of a migraine but not preceded by any aura symptoms. However, in the current episode, the pain became excessively severe and accompanied by right-sided hemiplegia and facial drooping. A full investigation workup using MRI revealed evidence of infarct in the left temporoparietal and basal ganglion region. &lt;b&gt;&lt;i&gt;Conclusion:&lt;\/i&gt;&lt;\/b&gt; Our case highlights the need to evaluate silent ischemic stroke in case of prolonged headache with a history of migraine as well as the need for precaution to avoid the use of triptans or opioids in such a case. It also highlights the conditions that need to be excluded before labeling it as a migrainous infarct.<\/jats:p>","DOI":"10.1159\/000481281","type":"journal-article","created":{"date-parts":[[2017,10,24]],"date-time":"2017-10-24T21:01:24Z","timestamp":1508878884000},"page":"241-251","source":"Crossref","is-referenced-by-count":0,"title":["Case Report: Migrainous Infarct without Aura"],"prefix":"10.1159","volume":"9","author":[{"given":"Kamesh","family":"Gupta","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anurag\u00a0","family":"Rohatgi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1932-6209","authenticated-orcid":false,"given":"Shivani","family":"Handa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2017,10,24]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.310.6983.830"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(96)90669-8"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199412223312505"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.57.10.1805"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38302.504063.8F"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e3181e7c9dd"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1097\/01.nrl.0000149973.61810.21"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1007\/s10072-006-0578-y"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.76.3.189"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1586\/erc.10.124"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/awm256"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.58.1.130"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000249115.63436.6d"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1002\/ana.21384"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1177\/1756285609347123"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.berh.2008.09.015"}],"container-title":["Case Reports in Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/481281","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/481281","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/481281","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T17:00:36Z","timestamp":1745427636000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000481281"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,10,24]]},"references-count":16,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2018,7,9]]}},"URL":"https:\/\/doi.org\/10.1159\/000481281","archive":["Portico"],"relation":{},"ISSN":["1662-680X"],"issn-type":[{"type":"electronic","value":"1662-680X"}],"subject":[],"published":{"date-parts":[[2017,10,24]]}}}