Sporadic hemiplegic migraine and CREST syndrome.
Hemiplegic migraines are characterised by attacks of migraine with aura accompanied by transient motor weakness. There are both familial and sporadic subtypes, which are now recognised as separate entities by the International Classification of Headache Disorders, edition II (ICHD-II). The sporadic subtype has been associated with other medical conditions, particularly rheumatological diseases. We report the case of a woman with sporadic hemiplegic migraine associated with CREST syndrome (calcinosis, Raynaud's phenomenon, esophageal dysmotility, sclerodactyly and telangiectasia). Since there is a close relationship between migraine and Raynaud's phenomenon, it could be speculated that the sporadic hemiplegic migraines in our patient might be secondary to CREST syndrome.
Grecco
Martin Pablo
MP
Neurology, Hospital de Clínicas, Av. Córdoba 2351, Buenos Aires, Argentina. martingrecco@yahoo.com
Pieroni
Miguel
M
Otero
Marcela
M
Ferreiro
Jorge Luis
JL
Figuerola
María de Lourdes
Mde L
D000328:Adult; D001921:Brain / Q000473:pathology / Q000503:physiopathology; D017675:CREST Syndrome / Q000150:complications* / Q000503:physiopathology*; D038524:Diffusion Magnetic Resonance Imaging; D005260:Female; D005632:Fructose / Q000031:analogs & derivatives / Q000627:therapeutic use; D006801:Humans; D002546:Ischemic Attack, Transient / Q000209:etiology; D008279:Magnetic Resonance Imaging; D020325:Migraine with Aura / Q000209:etiology* / Q000503:physiopathology*; D018696:Neuroprotective Agents / Q000627:therapeutic use; D010291:Paresis / Q000209:etiology; D000077236:Topiramate; D016896:Treatment Outcome
D018696:Neuroprotective Agents; D000077236:Topiramate; D005632:Fructose