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The Association of Anaesthetists of Great Britain and Ireland
Author(s) -
Jo Hooper
Publication year - 1980
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1980.tb03900.x
Subject(s) - medicine , association (psychology) , citation , library science , computer science , psychology , psychotherapist
this, and the recurrent nature of the symptoms confirmed this. General anaesthesia is known to precipitate migraine in sufferers. Ten per cent of migraine sufferers have neurological deficits and in 4% this persists beyond the duration of the headache. Hemiplegia associated with migraine post general anaesthesia has to date only been reported in individuals with a prior history of the condition or a known strong family history of hemiplegic migraine [2]. Hemiplegic migraine is a rare disorder characterised by attacks of transient hemiparesis followed by migraine headache. Classically there is an aura, followed by development of neurological signs lasting a mean of 60 min followed by headache lasting 30 min to 5 days. Motor signs occur unilaterally in approximately 60% of cases and are never isolated – most commonly associated with sensory signs and language disturbance, and least commonly with visual disturbances – in contrast to classic migraine. Triggers for the development of migraine in these individuals are commonly minor stressful events, which is the postulated mechanism in this gentleman [3]. This case highlights that hemiplegic migraine should be considered as a possible differential when faced with neurological deficit postoperatively.