DOI: 10.12890/2020_001585

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

Authors

  • 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

jacky.duong@stjoeshealth.org

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.

View the entire article

Downloads

Published

2020-04-02

Issue

Vol. 7 No. 6 (2020)

How to Cite

1.
Yadav S, Talukder M, Duong J. Not All Patients with Hemiplegia Need Alteplase: A Case of Hemiplegic Migraine. EJCRIM [Internet]. 2020 Apr. 2 [cited 2026 Nov. 3];7(6). Available from: https://ejcrim.com/index.php/ejcrim/article/view/1585