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Hemiplegic Migraine Presenting with Prolonged Somnolence: A Case Report
Christian Saleh1, Geneviève Pierquin2, Stefan Beyenburg1
1Department of Neurology, Centre Hospitalier de Luxembourg, Luxembourg, Luxembourg.
Case Reports in Neurology
|October 30, 2016
Summary
Hemiplegic migraine, a rare neurological disorder causing reversible motor deficits, presents diagnostic challenges. Early identification is crucial for effective management of this complex migraine type.
Area of Science:
- Neurology
- Neuroscience
Background:
- Hemiplegic migraine is a rare subtype of migraine characterized by temporary motor weakness.
- It can be misdiagnosed due to overlapping symptoms with conditions like stroke or epilepsy.
Observation:
- A case study of a 24-year-old male with childhood-onset hemiplegic migraine is presented.
- Symptoms included hemiparesis, paresthesia, somnolence, aphasia, and confusion since age 4.
Findings:
- The case highlights the diagnostic difficulties in hemiplegic migraine, especially in severe or atypical presentations.
- Review of literature emphasizes key diagnostic markers for prompt identification.
Implications:
- Accurate and timely diagnosis of hemiplegic migraine is essential for appropriate patient care.
- Understanding diagnostic challenges can improve clinical recognition and management strategies.
