Medical Case Reports

Hemiplegic Migraine Episode in Ten Years Old Patient

Ten years old patient, known case of obesity, renal stones and insulin resistance, developed 5 episodes of migraine headache attacks over two years duration, approximately three months duration between each attack. All attacks were triggered by cell phone gaming and lack of sleep. Headache presentation was similar in all episodes. Characterized by throbbing, moderate severity headache over the right temple, lasting five to six hours, associated with nausea without vomiting, sensitivity to sound and right eye blind spots. The most recent headache attack was complicated. Patient presented with similar headache symptoms as the previous attacks but it was associated with confusion, vomiting, dysarthria, right side facial droop, right upper and lower limb reduced sensation and weakness, for one hour duration. Patient was transferred to emergency medical services instantly, to do complete investigations of headache with hemiplegia presentation. Complete blood workup and brain magnetic resonance and venography scans were done, results were insignificant. This case presents, report of hemiplegic migraine episode in a ten years old patient.

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