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Familial Hemiplegic Migraine With Crossed Cerebellar Diaschisis and Unilateral Meningeal Enhancement
Author(s) -
Crawford Jacqueline S.,
Konkol Richard J.
Publication year - 1997
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1046/j.1526-4610.1997.3709590.x
Subject(s) - migraine , cerebellar hemisphere , medicine , lethargy , meninges , cerebral blood flow , cerebral hemisphere , familial hemiplegic migraine , anesthesia , cerebellum , neuroscience , psychology , radiology , migraine with aura , pathology , aura
A 6‐year‐old boy with a family history of hemiplegic migraine had a hemiplegic migraine lasting for 6 days complicated by prolonged fever, lethargy, and two brief focal seizures. An acute single photon emission computerized tomogram (SPECT) demonstrated decreased blood flow in the symptomatic cerebral hemisphere as well as crossed cerebellar diaschisis not previously documented in migraine. Another unique finding was the MRI with enhancement of the meninges and pial vessels over the symptomatic cerebral hemisphere. These findings suggest cerebellar and extra‐axial involvement as components of hemiplegic migraine.