Child with Sporadic Hemiplegic Migraine: Case Report

Hemiplegic migraine is a rare condition, which consists of a migraine with an aura, this being a unilateral motor weakness. It can be divided into familial or sporadic, according to whether or not similar cases are present in first-degree families. Its pathophysiology includes endogenous and exogenous factors. A case report was made of a 9-year-old female patient who presented four episodes with symptoms such as syncope, left hemiplegia, dizziness, visual blurring, among others. After ruling out other causes of hemiplegia, the diagnosis of sporadic hemiplegic migraine was closed. The patient presented with an atypical presentation of hemiplegic migraine, since she did not present with headache, which can occur in 1 to 5% of patients. However, symptoms such as unilateral paresthesia of limbs with a reversible pattern made it possible to classify her in this diagnosis. The treatment recommended for crisis prevention includes Sodium Valproate, which was recommended to her. Thus, the importance of performing a thorough clinical examination associated with imaging examinations for diagnoses of cases that are not normal is evident.

Keywords:Migraine with aura; Headache; Hemiplegic migrain