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Published on: June 2, 2014
Hemiparesis after general anesthesia in a patient with migraine with unilateral motor symptoms
Rachel A Hadler1, Joshua M Schiffman1, John G Augoustides1
1Department of Anesthesiology and Critical Care, Hospital of the University of Pennsylvania, University of Pennsylvania Health System, 3400 Spruce St, Philadelphia, PA 19104.
Design:
This is a case report.
Setting:
The setting is at a postoperative recovery area.
Patients:
A 52-year-old woman with a history of migraine with unilateral motor symptoms developed hemiparesis after undergoing general anesthesia for total thyroidectomy.
Interventions:
No interventions were performed.
Measurements/Main Results:
Head computed tomography and magnetic resonance imaging were normal. Laboratory studies including basic metabolic panel and complete blood count were also within normal limits.
Conclusions:
General anesthesia may be a trigger for hemiplegic migraine syndromes; however, it behooves the practitioner to rule out acute neurologic and metabolic events before making this diagnosis.
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