Not All Patients with Hemiplegia Need Alteplase: A Case of Hemiplegic Migraine

  • Sumeet Yadav St. Joseph Mercy Oakland Hospital, Pontiac, USA
  • Michelle Talukder Ross University School of Medicine, Bridgetown, Barbados
  • Jacky Duong St. Joseph Mercy Oakland Hospital, Pontiac, USA

Keywords

Hemiplegic migraine, alteplase, CVA, stroke

Abstract

Hemiplegic migraine (HM) is a rare type of migraine which presents with motor and sensory impairment like a cerebrovascular accident (CVA). We present a case of a 36-year-old female, with a prior CVA treated with alteplase, who presented to the emergency department with stroke-like symptoms with a duration of 1 hour. The NIH Stroke Scale score was 22 at presentation. The patient received alteplase under the supervision of a neurologist after head CT confirmed no bleed. Further work-up revealed no acute or remote ischaemia or infarction. This case demonstrates the importance of a thorough history, intercommunication between health systems and integrated Electronic Medical Records (EMR) for early diagnosis and management of HM.

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References

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  • Published: 2020-04-02

    Issue: Vol 7 No 6 (view)

    Section: Articles

    How to cite:
    Yadav, S., Talukder, M., & Duong, J. (2020). Not All Patients with Hemiplegia Need Alteplase: A Case of Hemiplegic Migraine. European Journal of Case Reports in Internal Medicine, 7(6). https://doi.org/https://doi.org/10.12890/2020_001585