Volume 24, Issue 102, March - April, 2020

A rare case report of sporadic hemiplegic migraine

Deep Hathi^1♦, Ayush Somani², Sourya Acharya³, Anusha Gupta⁴

¹Resident, department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (meghe), Wardha-442001, Maharashtra
²Resident, department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (meghe), Wardha-442001, Maharashtra
³Professor, department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (meghe), Wardha-442001, Maharashtra
⁴Resident, department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (meghe), Wardha-442001, Maharashtra

^♦Corresponding author
Resident, department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (meghe), Wardha-442001, Maharashtra Email: deephathi18@gmail.com

ABSTRACT

Hemiplegic migraine is an uncommon presentation of common condition, migraine headaches that can mimic other conditions both radiologically and clinically. Patients typically present with unilateral weakness that accompanies a migraine headache attack. We present a 25 year old male who presented with visual hallucination, headache and left sided hemiparesis. The patient had history of repeated similar episodes in the last 2 years. Magnetic resonance imaging (MRI) brain was normal. Digital subtraction angiography (DSA) was within normal limits. Detailed workup for mitochondrial encephalopathy with lactic acidosis and stroke-like episodes (MELAS) was negative. A diagnosis of sporadic hemiplegic migraine (SHM) was made and was managed conservatively. He was discharged on flunarizine for prophylaxis of migraine and was followed up for 2 months during which he was asymptomatic.

Keywords: Hemiplegic migraine, headache, migraine, flunarizine.

Medical Science, 2020, 24(102), 509-512

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