Sporadic hemiplegic migraine: report of a case with clinical and radiological features.
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.
Bhatia
Rohit
R
Department of Neurology, All India Institute of Medical Sciences, New Delhi, India. rohitbhatia71@yahoo.com
Desai
Soaham
S
Tripathi
Manjari
M
Garg
Ajay
A
Padma
M V
MV
Prasad
Kameshwar
K
Singh
Mamta B
MB
D000328:Adult; D001921:Brain / Q000000981:diagnostic imaging* / Q000473:pathology; D038524:Diffusion Magnetic Resonance Imaging / Q000379:methods; D007839:Functional Laterality; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D020325:Migraine with Aura / Q000000981:diagnostic imaging* / Q000473:pathology*; D011859:Radiography