Sporadic Hemiplegic Migraine

被引：3

作者：

Kana, Tina ^{[1
]}

Mehjabeen, Saraf ^{[1
]}

Patel, Nirav ^{[1
]}

Kawamj, Ahmed ^{[2
]}

Shamim, Zaineb ^{[3
]}

机构：

[1] Touro Coll Osteopath Med, Internal Med, New York, NY 10027 USA

[2] New York Med Coll, Internal Med, Passa, NY USA

[3] NYU Langone, Internal Med, New York, NY USA

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2023年 / 15卷 / 05期

关键词：

motor weakness; dysphagia; hemiplegic migraine; hemi-paresthesia; migraine disorder;

D O I：

10.7759/cureus.38930

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

An uncommon presentation of a migraine headache is hemiplegic migraine, which can clinically imitate other conditions including transient ischemic attacks and stroke with unilateral muscle weakness or hemiplegia. We present a 46-year-old female patient who was admitted with symptoms of a unilateral occipital headache, dysphagia and left-sided motor weakness. Diffusion magnetic resonance imaging (MRI) and brain tomography results were normal. A diagnosis of sporadic hemiplegic migraine was made after extensive workup and managed conservatively with solumedrol. The patient was discharged on prednisone and tetrahydrozoline ophthalmic solution with a drastic improvement in symptoms. On a follow-up visit, there was a complete resolution of symptoms.

引用

页数：6

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