[Functional and structural follow-up findings in complicated migraine]

The rare case of a status of complicated migraine with more than two weeks duration and severe neurological deficits is reported. The clinical symptoms were global aphasia, mild fluctuating hemiparesis on the right side and headache without localization on one side. The presence of a characteristic constellation of morphological and functional findings on investigation (EEG, SPECT, TCD) helped to clarify the diagnosis. In addition, the functional investigations proved remarkably valuable in following the course of the illness. The decrease of clinical symptoms was clearly correlated with SPECT and TCD findings, while CCT and MRT remained unspecific and EEG did not become normal.