Two Cases of Sporadic Hemiplegic Migraine.

Hwang,  Eun Kyoung; Park,  Hyung Youl; Chae,  Kyu Young

Case Report

Journal of the Korean Child Neurology Society 2003;11(1):173-177.
Published online May 30, 2003.

Two Cases of Sporadic Hemiplegic Migraine.

Eun Kyoung Hwang, Hyung Youl Park, Kyu Young Chae

Department of Pediatrics, College of Medicine, Pocheon CHA University, Sungnam, Korea. barnabas@cha.ac.kr

Abstract

Hemiplegic migraine is characterized by the occurrence of migraine attacks with unilateral weakness. The attack usually starts in childhood, adolescence, or early adulthood. The diagnosis may be delayed if there is no relevant family history. We experienced two cases of hemiplegic migraine of 8 and 14 years old girls whose neuroimaging studies including MRA showed no abnormal findings in the acute phases and the ictal EEG findings also revealed normal. The hemiplegic attacks associated with sensory disturbance were improved by calcium channel blocker(Flunarizine). Hemiplegic migraine should be considered in the differential diagnosis of a pediatric hemiparesis even if there is no familial migraine history.

Key Words: Hemiplegic migraine, Flunarizine, Family history