Persistent migraine aura with cerebral infarction, not intractable
ICD-10 G43.60 is a billable code used to indicate a diagnosis of persistent migraine aura with cerebral infarction, not intractable.
Persistent migraine aura with cerebral infarction is a neurological condition characterized by the presence of prolonged aura symptoms that last longer than the typical duration of a migraine aura, which is usually less than 60 minutes. In this condition, the aura is accompanied by cerebral infarction, indicating that there has been an ischemic event in the brain. Symptoms may include visual disturbances, sensory changes, and motor deficits, which can persist for days or weeks. The diagnosis requires careful evaluation to differentiate it from other causes of stroke or transient ischemic attacks (TIAs). The term 'not intractable' indicates that the condition is manageable and does not require aggressive interventions typically reserved for intractable cases. Understanding the triggers, such as stress, hormonal changes, and certain foods, is crucial for effective management. Preventive treatments may include medications like beta-blockers, anticonvulsants, or lifestyle modifications aimed at reducing the frequency and severity of migraine attacks.
Detailed neurological examination findings, imaging results, and patient history.
Patients presenting with prolonged aura symptoms and neurological deficits.
Ensure clarity in distinguishing between migraine aura and other neurological events.
Comprehensive patient history, including migraine triggers and previous treatments.
Patients with recurrent migraines seeking preventive treatment.
Document lifestyle factors and response to preventive therapies.
Used for follow-up visits for migraine management.
Document history of present illness, examination findings, and treatment plan.
Neurologists may require more detailed neurological assessments.
Common triggers include stress, hormonal changes, certain foods (like aged cheeses and processed meats), sleep disturbances, and environmental factors such as bright lights or strong odors.
