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Case Reports
Hemiparesis after general anesthesia in a patient with migraine with unilateral motor symptoms.
- Rachel A Hadler, Joshua M Schiffman, John G Augoustides, Renyu Liu, and Linda Chen.
- Department of Anesthesiology and Critical Care, Hospital of the University of Pennsylvania, University of Pennsylvania Health System, 3400 Spruce St, Philadelphia, PA 19104. Electronic address: Rachel.hadler@uphs.upenn.edu.
- J Clin Anesth. 2016 Jun 1; 31: 142-4.
DesignThis is a case report.SettingThe setting is at a postoperative recovery area.PatientsA 52-year-old woman with a history of migraine with unilateral motor symptoms developed hemiparesis after undergoing general anesthesia for total thyroidectomy.InterventionsNo interventions were performed.Measurements/Main ResultsHead computed tomography and magnetic resonance imaging were normal. Laboratory studies including basic metabolic panel and complete blood count were also within normal limits.ConclusionsGeneral anesthesia may be a trigger for hemiplegic migraine syndromes; however, it behooves the practitioner to rule out acute neurologic and metabolic events before making this diagnosis.Copyright © 2016 Elsevier Inc. All rights reserved.
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