Sporadic hemiplegic migraine presenting as acute encephalopathy.

Abstract:

:A 10-year-old boy with psychomotor developmental delay and cerebellar vermis atrophy developed right hemiplegia with vomiting, unconsciousness, convulsions, and late-onset fever. Slow delta activity was noted over the left hemisphere on electroencephalography, and neuroimaging revealed swelling of the left temporo-occipital cerebral cortex with restricted diffusivity, successive transient cortical atrophy, and hyperperfusion over the left cerebral hemisphere. Interleukin-6 was elevated in the cerebrospinal fluid. The acute symptoms resolved completely within 3 weeks after onset, but hypoperfusion persisted in the left posterior cortex thereafter. Another episode with transient left hemiplegia appeared 7 months later, followed by recurrence of migraine attacks. Analysis of the CACNA1A gene revealed a mutation of c.1997 C>T (p.T666M). None of his family members had migraine. This case represents an unusual evolution of sporadic hemiplegic migraine with manifestations of acute encephalopathy, for which the role of migraine-related inflammatory process is assumed.

journal_name

Brain Dev

journal_title

Brain & development

authors

Ohmura K,Suzuki Y,Saito Y,Wada T,Goto M,Seto S

doi

10.1016/j.braindev.2011.11.002

subject

Has Abstract

pub_date

2012-09-01 00:00:00

pages

691-5

issue

8

eissn

0387-7604

issn

1872-7131

pii

S0387-7604(11)00308-1

journal_volume

34

pub_type

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