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The Journal of Headache and Pain
Published in: The Journal of Headache and Pain 6/2008

Open Access 01-12-2008 | Brief Report

Sporadic hemiplegic migraine: report of a case with clinical and radiological features

Authors: Rohit Bhatia, Soaham Desai, Manjari Tripathi, Ajay Garg, M. V. Padma, Kameshwar Prasad, Mamta B. Singh

Published in: The Journal of Headache and Pain | Issue 6/2008

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Abstract

A case of visual hallucination, headache and left hemiparesis is reported. The patient had a history of recurrent attacks of similar semiology for the previous 15 years. MRI brain revealed a cortical hyperintensity on T2W, FLAIR and diffusion weighted imaging (DWI) in the right cerebral hemisphere with a normal ADC (apparent diffusion coefficient) map and MR angiogram. Detailed workup for MELAS was negative. A diagnosis of sporadic hemiplegic migraine was made and he was managed conservatively. He made a gradual complete recovery over 2 weeks. He was discharged on flunarizine for prophylaxis and has remained asymptomatic over the ensuing 4 months. This interesting condition is reviewed and discussed herein.
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Metadata
Title
Sporadic hemiplegic migraine: report of a case with clinical and radiological features
Authors
Rohit Bhatia
Soaham Desai
Manjari Tripathi
Ajay Garg
M. V. Padma
Kameshwar Prasad
Mamta B. Singh
Publication date
01-12-2008
Publisher
Springer Milan
Published in
The Journal of Headache and Pain / Issue 6/2008
Print ISSN: 1129-2369
Electronic ISSN: 1129-2377
DOI
https://doi.org/10.1007/s10194-008-0067-1

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