Unusual Clinical Picture in Migraine – Case Reports
Authors:
R. Kotas 1; J. Kastner 2; V. Amblerová 1; J. Rokytová 1; H. Vacovská 1; J. Polívka 1; J. Kobr 3; A. Malán 4
Authors‘ workplace:
FN Plzeň
Neurologická klinika LF UK v Plzni
1; FN Plzeň
Radiodiagnostická klinika LF UK v Plzni
2; FN Plzeň
Dětská klinika LF UK v Plzni
3; FN Plzeň
Oddělení nukleární medicíny
4
Published in:
Cesk Slov Neurol N 2010; 73/106(2): 178-186
Category:
Case Report
Overview
This paper deals with two unusual clinical pictures of migraine. In the first case report, a 10‑year-old boy suffered from an attack of hemiplegic migraine with headache and left-sided hemiplegia with persistent aura without infarction, and recovered almost completely within 6 months of onset. Repeated conventional magnetic resonance imaging revealed no structural lesion of the brain, merely a subsiding light hypoperfusion in the frontal precentral regions bilaterally evident in perfusion‑weighted imaging. Findings in diffusion-weighted imaging and ADC maps were repeatedly normal. Examination of cerebral blood flow with single proton emission computed tomography was repeatedly normal. In the second case report, a 14‑year‑old boy suffered from a severe attack of migraine accompanied by delirium. Subarachnoid haemorrhage, meningitis and other structural lesions of the CNS were ruled out, while a toxicological examination, including alcohol, proved normal. The patient recovered within 12 hours.
Key words:
hemiplegic migraine – persistent aura without infarction – migraine with delirium
Sources
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Labels
Paediatric neurology Neurosurgery NeurologyArticle was published in
Czech and Slovak Neurology and Neurosurgery
2010 Issue 2
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