Hemiplegic Migraine: A Case Report

Abstract

A 37-years-old female was admitted to another clinic with a 10-day history of headache, right hemiparesis and aphasia, and was diagnosed as conversion disorder. She was admitted to our emergency room for repeated tonic-clonic convulsions. She had a history of migraine and two attacks characterized by hemiparesis and aphasia during the last year. Left-sided cerebral edema and vasospasm of the left middle cerebral artery were observed in imaging studies. A detailed clinical and family history led us to diagnose this case as hemiplegic migraine. Calcium channel blocker and antiepileptic treatment was started and her symptoms disappeared completely. Magnetic resonance imaging repeated one month later showed regression of the edema. The interesting clinical and imaging findings of this patient diagnosed as hemiplegic migraine are reported because of its rare occurrence.