title: Sporadic hemiplegic migraine: report of a case with clinical and radiological features.
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.
authors.affiliation: Department of Neurology, All India Institute of Medical Sciences, New Delhi, India. rohitbhatia71@yahoo.com
authors.forename: Rohit
authors.initials: R
authors.lastname: Bhatia
authors.forename: Soaham
authors.initials: S
authors.lastname: Desai
authors.forename: Manjari
authors.initials: M
authors.lastname: Tripathi
authors.forename: Ajay
authors.initials: A
authors.lastname: Garg
authors.forename: M V
authors.initials: MV
authors.lastname: Padma
authors.forename: Kameshwar
authors.initials: K
authors.lastname: Prasad
authors.forename: Mamta B
authors.initials: MB
authors.lastname: Singh
mesh_terms: 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