title: Hemiparesis after general anesthesia in a patient with migraine with unilateral motor symptoms.
abstract: METHODS
  This is a case report.
  
  
  METHODS
  The setting is at a postoperative recovery area.
  
  
  METHODS
  A 52-year-old woman with a history of migraine with unilateral motor symptoms developed hemiparesis after undergoing general anesthesia for total thyroidectomy.
  
  
  METHODS
  No interventions were performed.
  
  
  RESULTS
  Head computed tomography and magnetic resonance imaging were normal. Laboratory studies including basic metabolic panel and complete blood count were also within normal limits.
  
  
  CONCLUSIONS
  General 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.
authors.affiliation: 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.
authors.forename: Rachel A
authors.initials: RA
authors.lastname: Hadler
authors.affiliation: Department of Anesthesiology and Critical Care, Hospital of the University of Pennsylvania, University of Pennsylvania Health System, 3400 Spruce St, Philadelphia, PA 19104.
authors.forename: Joshua M
authors.initials: JM
authors.lastname: Schiffman
authors.affiliation: Department of Anesthesiology and Critical Care, Hospital of the University of Pennsylvania, University of Pennsylvania Health System, 3400 Spruce St, Philadelphia, PA 19104.
authors.forename: John G
authors.initials: JG
authors.lastname: Augoustides
authors.affiliation: Department of Anesthesiology and Critical Care, Hospital of the University of Pennsylvania, University of Pennsylvania Health System, 3400 Spruce St, Philadelphia, PA 19104.
authors.forename: Renyu
authors.initials: R
authors.lastname: Liu
authors.affiliation: Department of Anesthesiology and Critical Care, Hospital of the University of Pennsylvania, University of Pennsylvania Health System, 3400 Spruce St, Philadelphia, PA 19104.
authors.forename: Linda
authors.initials: L
authors.lastname: Chen
mesh_terms: D000768:Anesthesia, General; D005260:Female; D006801:Humans; D008875:Middle Aged; D008881:Migraine Disorders / Q000150:complications*; D010291:Paresis / Q000150:complications* / Q000503:physiopathology*; D011183:Postoperative Complications / Q000503:physiopathology*; D013965:Thyroidectomy
keywords: Anesthesia, general; Disease management; Headache; Migraine disorders; Perioperative period