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一例酷似中风的散发性偏瘫性偏头痛罕见病例:通过全面病史采集解决诊断难题

A Rare Case of Sporadic Hemiplegic Migraine Mimicking Stroke: A Diagnostic Challenge Solved by Comprehensive History Taking.

作者信息

Kaushal Ridhima, Kashyap Abhishek, Yogesh Sai, Agarwal Mokshita, Banerjee Indrajit

机构信息

Internal Medicine, Government Multi Specialty Hospital, Chandigarh, IND.

Internal Medicine, Sir Seewosagur Ramgoolam Medical College, Belle Rive, MUS.

出版信息

Cureus. 2024 Apr 7;16(4):e57790. doi: 10.7759/cureus.57790. eCollection 2024 Apr.

Abstract

Migraine, a common affliction, manifests as debilitating headaches often accompanied by auras. However, hemiplegic migraine presents an unusual symptomatology, inducing unilateral paralysis during attacks. This condition, occurring in two forms, familial and sporadic, merits attention due to its rarity. To raise awareness of this ailment, we recount the case of a 33-year-old woman. This instance serves as a poignant reminder of the potential severity and complexity of hemiplegic migraines. By shedding light on this less-understood variant, we aim to enhance recognition and understanding within medical communities and among the general public. Additionally, emphasizing the importance of thorough history taking in identifying characteristic features, such as the presence of auras or unilateral paralysis preceding headaches, is paramount. Understanding these nuances aids in accurate diagnosis and formulation of tailored management strategies. It's imperative to recognize the distinct characteristics of hemiplegic migraines to ensure timely and appropriate management for affected individuals, offering them relief and improving their quality of life.

摘要

偏头痛是一种常见的疾病,表现为使人虚弱的头痛,常伴有先兆。然而,偏瘫性偏头痛呈现出不同寻常的症状,在发作期间会诱发单侧瘫痪。这种疾病有家族性和散发性两种形式,因其罕见而值得关注。为提高对这种疾病的认识,我们讲述一位33岁女性的病例。这个案例有力地提醒人们偏瘫性偏头痛可能具有的严重性和复杂性。通过揭示这种较少被了解的变体,我们旨在提高医学界和公众的认识与理解。此外,强调在识别特征性表现(如头痛前出现先兆或单侧瘫痪)时进行全面病史采集的重要性至关重要。了解这些细微差别有助于准确诊断并制定针对性的管理策略。认识到偏瘫性偏头痛的独特特征对于确保为患者提供及时、恰当的治疗,减轻他们的痛苦并改善其生活质量至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5862/11076926/ac9a573c78d9/cureus-0016-00000057790-i01.jpg

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