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.
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页数：6
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