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Published on: June 18, 2021
[Headaches and acute hemiplegia of nonvascular origin: two cases]
Bruno Barroso1, Eric Bertandeau, Alexandre Dakar
1Service de Neurologie, Centre Hospitalier François Mitterrand, Pau. bruno.barroso@ch-pau.fr
Background:
Acute hemiplegia with headaches does not always have a vascular origin.
Cases:
We describe two cases with headaches that included motor weakness symptoms. One patient had sporadic hemiplegic migraines. The second met the diagnosis criteria for a transient syndrome with headache, neurological deficits and cerebrospinal fluid pleocytosis.
Discussion:
These two case reports demonstrate the diagnostic difficulty that can be associated with acute motor weakness. A nonvascular origin should always be considered to prevent treatment errors, especially in the differential diagnosis of stroke.
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