Serdaroglu Gül, Tütüncüoglu Sarenur, Calli Cem, Sarioglu Berrak, Korkmaz Harun
Department of Pediatrics, Division of Child Neurology, Ege University Faculty of Medicine, Izmir, Turkey.
J Child Neurol. 2002 Jan;17(1):80-1. doi: 10.1177/088307380201700125.
Hemiplegic migraine is defined by the occurrence of migraine during attacks of unilateral weakness. Neurologic symptoms last for 15 to 60 minutes in most cases. Attacks usually start in childhood, adolescence, or early adulthood. Diagnosis may be delayed if there is no relevant family history. A 16-year-old girl who was diagnosed with hemiplegic migraine presenting with prolonged left hemiparesis is reported. The importance of this case is that the pediatrician will also consider migraine in the differential diagnosis of a child presenting with hemiparesis even if there is no previous headache and family history.
偏瘫性偏头痛的定义是在单侧无力发作期间出现偏头痛。在大多数情况下，神经症状持续15至60分钟。发作通常始于儿童期、青春期或成年早期。如果没有相关家族史，诊断可能会延迟。本文报告了一名16岁被诊断为偏瘫性偏头痛的女孩，其表现为持续性左侧偏瘫。该病例的重要性在于，即使患儿此前没有头痛及家族史，儿科医生在对出现偏瘫的儿童进行鉴别诊断时也会考虑到偏头痛。
