Hatoum Hilana A, Hassan Ahmed A, Al-Said Youssef A
Department of Neurosciences, King Faisal Specialist Hospital and Research Center, PO Box 40047, Jeddah 21499, Kingdom of Saudi Arabia.
Neurosciences (Riyadh). 2008 Jul;13(3):302-4.
Hemiplegic migraine is a rare form of migraine variant. It is characterized by recurrent attacks of headache associated with temporary neurological deficit, usually unilateral hemiparesis or hemiplegia. It can be difficult to distinguish from migrainous stroke clinically, and a full neurological work-up and careful review of medical history and symptoms are necessary for the diagnosis. Two forms of hemiplegic migraine are known: familial and sporadic, phenotypically similar, differentiated by the absence of family history of similar attacks in the sporadic form. We report a case of sporadic hemiplegic migraine with unusually prolonged deficit and progression to quadriplegia with complete return to baseline 7 days after onset. Diffusion weighted images helped in excluding infarction.
偏瘫性偏头痛是偏头痛变异型的一种罕见形式。其特征为反复发作的头痛，并伴有暂时性神经功能缺损，通常为单侧偏瘫或全瘫。临床上很难将其与偏头痛性卒中区分开来，因此诊断时需要进行全面的神经学检查，并仔细回顾病史和症状。已知有两种形式的偏瘫性偏头痛：家族性和散发性，它们在表型上相似，散发性形式的区别在于没有类似发作的家族史。我们报告一例散发性偏瘫性偏头痛病例，其神经功能缺损异常延长，并进展为四肢瘫，发病7天后完全恢复至基线水平。弥散加权成像有助于排除梗死。
