J Korean Child Neurol Soc.  2003 May;11(1):173-177.

Two Cases of Sporadic Hemiplegic Migraine

Affiliations
  • 1Department of Pediatrics, College of Medicine, Pocheon CHA University, Sungnam, Korea. barnabas@cha.ac.kr

Abstract

Hemiplegic migraine is characterized by the occurrence of migraine attacks with unilateral weakness. The attack usually starts in childhood, adolescence, or early adulthood. The diagnosis may be delayed if there is no relevant family history. We experienced two cases of hemiplegic migraine of 8 and 14 years old girls whose neuroimaging studies including MRA showed no abnormal findings in the acute phases and the ictal EEG findings also revealed normal. The hemiplegic attacks associated with sensory disturbance were improved by calcium channel blocker(Flunarizine). Hemiplegic migraine should be considered in the differential diagnosis of a pediatric hemiparesis even if there is no familial migraine history.

Keyword

Hemiplegic migraine; Flunarizine; Family history

MeSH Terms

Adolescent
Calcium Channels
Diagnosis
Diagnosis, Differential
Electroencephalography
Female
Flunarizine
Humans
Migraine Disorders*
Neuroimaging
Paresis
Calcium Channels
Flunarizine
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