. Ahead of Print: HNHJ-36854 | DOI: 10.14744/hnhj.2018.36854

Sporadic hemiplegic migraine, a case report

Davut Tekyol¹, Ýbrahim Altundað¹, Nihat Müjdat Hökenek^2
1Department of Emergency Medicine, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey
²Department of Emergency Medicine, Kartal Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey

Complaint of headache is a frequent application to the emergency department. Most of the patients have benign primary headache so a fast and effective treatment is sufficient. A 24-year-old patient was admitted to the emergency department with symptoms of headache, slowing down in speech, numbness and weakness on the left side. After the examinations, the patient was diagnosed with hemiplegic migraine attack. During follow-up, the patient's muscular weakness and symptoms totally improved and migraine prophylaxis was started. Hemiplegic migraine, a rare subtype of migraine, characterized by recurrent focal weakness and headache episodes, was reviewed on this case.

Keywords: Hemiplegic migraine, Sporadic hemiplegic migraine, Migraine, Hemiplegia

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Sporadik hemiplejik migren, bir olgu sunumu

Davut Tekyol¹, Ýbrahim Altundað¹, Nihat Müjdat Hökenek^2
1Haydarpaþa Numune Eðitim ve Araþtýrma Hastanesi, Acil Týp Ana Bilim Dalý, Ýstanbul
²Kartal Dr. Lutfi Kýrdar Eðitim ve Araþtýrma Hastanesi, Acil Týp Ana Bilim Dalý, Ýstanbul

Baþ aðrýsý þikayeti acil servise sýk yapýlan bir baþvurudur. Hastalarýn çoðunda benign primer baþ aðrýsý görülmekte, hýzlý ve etkin bir tedavi yeterli olmaktadýr. sadece %1-5’i ciddi ya da sekonder baþ aðrýlarýný oluþturmaktadýr. 24 yaþýnda baþ aðrýsý, konuþmada yavaþlama, sol tarafýnda uyuþma ve güçsüzlük semptomlarý ile acil servise getirilen hastanýn yapýlan deðerlendirmeler sonucunda hemiplejik migren ataðý olduðu anlaþýldý. Takiplerinde kas güçsüzlüðü ve semptomlarý tamamen düzelen hastaya migren proflaksisi baþlandý. Tekrarlayan fokal güçsüzlük ve baþ aðrýsý epizotlarý ile karakterize nadir görülen bir auralý migren alt tipi olan hemiplejik migren bir olgu üzerinde gözden geçirilmiþtir.

Anahtar Kelimeler: Hemiplejik migren, Sporadik hemiplejik migren, Migren, Hemipleji

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