Postoperative hemiparesis following tonsillectomy

Zahir Mughal1, Alex Charlton1, Hamid El-Sawy1

  • 1Department of Otorhinolaryngology, University Hospital Coventry & Warwickshire NHS Trust, Coventry CV2 2DX, UK.

We report a rare complication following a routine elective tonsillectomy. A 32-year-old woman woke up from general anaesthesia with left sided hemiparesis. She underwent extensive investigations, which were normal. At follow-up neurology clinic she was given a new diagnosis of hemiplegic migraine and commenced on treatment. This case draws attention to a rare cause of postoperative hemiparesis. Hemiplegic migraine is a differential diagnosis for postoperative motor deficit after exclusion of an acute neurological or metabolic event.