Two atypical cases of isolated migrainous paraesthesia.
A large number of migraineurs have various transient neurological symptoms in the absence of headache at one time or another. Such transient neurological symptoms largely represent the typical migraine auras without headaches. Isolated visual aura is the most common aura in this category. Sensory aura is the second most common aura. However, the literature is sparse regarding isolated sensory aura without headache. Herein, we are reporting two cases of recurrent paraesthesia that fulfilled the International Classification of Headache Disorders (ICHD-3β) criteria of typical migrainous sensory aura without headache. Review of the literature suggests that upper limb involvement is almost universal (>90%) in the typical sensory aura. However, our both cases were unusual in this aspect. Case 1 had recurrent spontaneous paraesthesia predominantly on the left side of the face. Case 2 had recurrent spontaneous paraesthesia in either the left or right lower limb. Both cases responded to antimigraine drugs.
Department of Neurology, Smt BK Shah Medical Institute and Research Centre, Vadodara, Gujarat, India.
Sanjay
S
Prakash
Smt BK Shah Medical Institute and Research Centre, Vadodara, Gujarat, India.
Chaturbhuj
C
Rathore
Eur J Neurol. 2009 Sep;16(9):968-81
19708964
Brain. 1996 Apr;119 ( Pt 2):355-61
8800932
Eur J Neurol. 2004 Jul;11(7):479-82
15257687
Expert Rev Neurother. 2006 Mar;6(3):283-9
16533132
Can J Neurol Sci. 1980 Feb;7(1):9-17
7388704
Headache. 1986 Apr;26(4):198-201
3086253
Brain. 1994 Feb;117 ( Pt 1):199-210
7908596
Lancet Neurol. 2006 Feb;5(2):148-157
16426991
Cephalalgia. 2013 Jul;33(9):629-808
23771276
Neurologist. 2007 May;13(3):118-25
17495755
Stroke. 1986 Sep-Oct;17(5):1033-42
3532432
Headache. 2015 Sep;55(8):1143-7
26234162