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.
Neurology, Hospital de Clínicas, Av. Córdoba 2351, Buenos Aires, Argentina. martingrecco@yahoo.com
Martin Pablo
MP
Grecco
Miguel
M
Pieroni
Marcela
M
Otero
Jorge Luis
JL
Ferreiro
María de Lourdes
Mde L
Figuerola
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