Kusum L. Kumar, MD; Thomas G. Cooney, MD
To the Editor: Chronic headache is common in the general population. Ten to twenty percent of chronic headaches are migraine. Beta blockers have been used widely to prevent both common and classic migraine for more than 20 years. In studies documenting the effectiveness of propranolol and other beta blockers, including atenolol, timolol, nadolol, and metoprolol, in preventing migraine, the reported side effects have been drowsiness, fatigue, nightmares, and depression. We report a patient who developed marked visual symptoms consisting of scotoma and scintillations in the absence of headache after treatment of her migraine with atenolol.
A 37-year-old woman was seen
Kumar KL, Cooney TG. Visual Symptoms after Atenolol Therapy for Migraine. Ann Intern Med. ;112:712–713. doi: 10.7326/0003-4819-112-9-712_2
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Published: Ann Intern Med. 1990;112(9):712-713.
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