• J Headache Pain · Dec 2008

    Case Reports

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

    • Rohit Bhatia, Soaham Desai, Manjari Tripathi, Ajay Garg, M V Padma, Kameshwar Prasad, and Mamta B Singh.
    • Department of Neurology, All India Institute of Medical Sciences, New Delhi, India. rohitbhatia71@yahoo.com
    • J Headache Pain. 2008 Dec 1; 9 (6): 385388385-8.

    AbstractA 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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