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Hemiplegic Migraine with Concurrent SARS-CoV-2 Infection Leads to Motor Vehicle Collision: a Case Report
Jody Esguerra1, Andrew Sherman2, Florian Bukovec2
1Oakland University William Beaumont School of Medicine, 586 Pioneer Dr, Rochester, MI 48309 USA.
Abstract:
Hemiplegic migraine (HM) is a rare, heterogenous form of migraine characterized by unilateral weakness. This motor aura can present with reversible visual, sensory, and language deficits. HM can be difficult to diagnose due to overlapping presentation with other complex conditions such as multiple sclerosis, seizure disorders, and transient ischemic attack (TIA). We describe a case of a 40-year-old female with asymptomatic COVID-19 infection who presented after a motor vehicle collision caused by HM consistent with left-sided weakness and loss of consciousness. To date, this is the first description of a patient with known complex migraines to have a motor vehicle collision as a result of HM. The risk of HM-associated neurologic symptoms while driving poses a significant public safety concern. We suggest driving restrictions be considered in patients with HM when migraine aura is present. This case presents support to examine active infection with SARS-CoV-2 as a trigger for HM.
Insights
Hemiplegic migraine (HM) can cause temporary neurological deficits, leading to safety concerns like driving impairment. This case highlights COVID-19 as a potential trigger for HM, emphasizing the need for driving restrictions during aura phases.
Area of Science:
- Neurology
- Public Health
Background:
- Hemiplegic migraine (HM) is a rare neurological disorder characterized by unilateral weakness and motor aura.
- HM diagnosis can be challenging due to overlapping symptoms with conditions like multiple sclerosis, seizures, and transient ischemic attack (TIA).
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