Hemiplegic migraine associated with an aseptic meningeal reaction

A 21-year-old man had typical symptoms of hemiplegic migraine. A lumbar puncture demonstrated a significant lymphocytic response and an elevated CSF protein level on the day of and 24 days after the headache despite the absence of any other clinical symptoms. Other reported cases of CSF leukorrhaghia associated with hemiplegic migraine are briefly reviewed.