Abstract
Migraine probably represents the most frequent condition in acute transient nontraumatic hemiplegia in the young age group. Hemiplegic migraine is a complex form of migraine characterized by the sudden onset of hemiparesis. Associated symptoms may include unilateral sensory loss and aphasia. Contralateral hemicranial, bilateral diffuse, or rarely ipsilateral headache usually follows but commonly precedes the neurological deficit. Other symptoms such as nausea and/or vomiting are common. The natural history of the migrainous hemisyndrome is usually benign, but permanent neurological sequelae may occur secondary to cerebral infarction.
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References
Devoto M, Lozito A, Staffa G, et al.: Segregation analysis of migraine in 128 families. Cephalalgia 6: 105 – 105, 1986.
Dalessio DJ (ed.): Wolff’s Headache and other Head Pain, 5th Ed. Oxford University Press, Oxford, 1987.
Bille BO: Migraine in school children. Acta Paediatr Scand 51 (Suppl 136 ): 1 4 – 151, 1962.
Prensky AL: Migraine and migrainous variants in pediatric patients. Pediatr Clin North Am 23: 461 – 471, 1976.
Congdon PJ, Forsythe WI: Migraine in childhood: a study of 300 children. Dev Med Child Neurol 21: 209 – 216, 1979.
Ritz A, Jacobi G, Emrich R: Komplizierte Migrääne beim Kind. Monatsschr Kinderheilk 129: 504 – 512, 1981.
Barlow CF: Headaches and migraine in childhood. Clin Dev Med 91:XX–XX, 1984.
Dalsgaard-Nielsen T, Engberg-Pedersen H, Holm HE: Clinical and statistical investigations of the epidemiology of migraine. Danish Med Bull 17: 138 – 148, 1970.
Sillanpáá M: Changes in the prevalence of migraine and other headaches during the first seven school years. Headache 23: 15 – 19, 1983.
Deubner DC: An epidemiologic study of migraine and headache in 10–20 year olds. Headache 17: 173 – 180, 1977.
Bradshaw P, Parsons M: Hemiplegic migraine, a clinical study. Q J Med 34: 65 – 85, 1965.
Prensky AL, Sommer D: Diagnosis and treatment of migraine in children. Neurology 29: 506 – 510, 1979.
Jay GW, Tomasi, LG: Pediatric headaches: a one year retrospective analysis. Headache 21: 5 – 9, 1981.
Whitty CWM: Familial hemiplegic migraine. In: Vinken, PJ, Bruyn GW, Klawans HL, et al. (eds.), Headache. Handbook of Clinical Neurology, Vol. 48, Ch. 11. Elsevier, Amsterdam, 1986, pp. 141 – 153.
Whitty CWM: Familial hemiplegic migraine. J Neurol Neurosurg Psychiatry 16: 172 – 177, 1953.
Blau JN, Whitty CWM: Familial hemiplegic migraine. Lancet 2: 1115 – 1116, 1955.
Ross RT: Hemiplegic migraine. Can Med Assoc J 78: 10 – 16, 1958.
Jensen TS, Olivarius T de F, Kroft B, et al. Familial hemiplegic migraine— a reappraisal and long term follow-up study. Cephalalgia 1: 33 – 39, 1981.
Glista GG, Mellinger JF, Rooke ED: Familial hemiplegic migraine. Mayo Clin Proc 50: 307 – 311, 1975.
Rosenbaum HE: Familial hemiplegic migraine. Neurology 10: 164 – 167, 1960.
Bickerstaff ER: Basilar artery migraine. Lancet 1:15–17, 1961; 2: 1057–1059, 1961.
Golden GS, French JH: Basilar artery migraine in young children. Pediatrics 56: 722 – 726, 1975.
Hockaday JM: Basilar migraine in childhood. Dev Med Child Neurol 21: 455 – 463, 1979.
Lapkin ML, Golden GS. Basilar artery migraine. Am J Dis Child 132: 278 – 281, 1978.
Connor RCR: Complicated migraine. A study of permanent neurological and visual defects caused by migraine. Lancet 2: 1072 - 1075, 1962.
Hungerford GD, du Boulay GH, Zilkha KJ: Computerized axil tomography in patients with severe migraine: a preliminary report. J Neurol Neurosurg Psychiatry 39: 990 – 994, 1976.
Dorfman LJ, Marshall WH, Enzmann DR. Cerebral infarction and migraine: clinical and radiologic correlations. Neurology 29: 317 – 322, 1979.
Spaccavento LJ, Solomon GD: Migraine as an etiology of stroke in young adults. Headache 24: 19 – 22, 1984.
Featherstone HJ: Clinical features of stroke in migraine: a review. Headache 26: 128 – 133, 1986.
Rothrock JF, Walicke P, Swenson MR, et al.: Migrainous stroke. Arch Neurol 45: 63 – 67, 1988.
Broderick JP, Swanson JW: Migraine-related strokes. Clinical profile and prognosis in 20 patients. Arch Neurol 44: 868 – 871, 1987.
Bogousslavsky J, Regli F, Van Melle G, et al.: Migraine stroke. Neurology 38: 223 – 237, 1988.
Buckle RM, Du Boulay G, Smith B: Death due to cerebral vasospasm. J Neurol Neurosurg Psychiatry 27: 440 – 444, 1964.
Guest I A, Woolf AL: Fatal infarction of brain in migraine. Br Med J 1: 225 – 226, 1964.
Castaldo JE, Anderson M, Reeves AG: Middle cerebral artery occlusion with migraine. Stroke 13: 308 – 311, 1982.
Dunn DW: Vertebrobasilar occlusive disease and childhood migraine. Pediatr Neurol 1: 252 – 254, 1985.
Casaer P: Flunarazine in alternating hemiplegia in childhood. An international study in 12 children. Neuropediatrics 18: 191 – 195, 1987.
Krägeloh I, Aicardi J: Alternating hemiplegia in infants: report of 5 cases. Dev Med Child Neurol 22: 784 – 791, 1980.
Hosking GP, Cavanagh NPC, Wilson J: Alternating hemiplegia: complicated migraine of infancy. Arch Dis Child 53: 656 – 659, 1978.
Verret LS, Steele JC: Alternating hemiplegia in childhood: a report of eight patients with complicated migraine beginning in infancy. Pediatrics 47: 675 – 680, 1971.
Aicardi J: Alternating hemiplegia of childhood. Int Pediatr 2: 115 – 119, 1987.
Wolff HG: Headache and Other Head Pain. Oxford University Press, New York, 1963.
Dukes HT, Vieth RG: Cerebral arteriography during migraine prodrome and headache. Neurology 14: 636 – 639, 1964.
Pearce JMS, Foster JB: An investigation of complicated migraine. Neurology 15: 333 – 340, 1965.
Fisher CM: Cerebral ischemia—less familiar type. Clin Neurosurg 18: 267 – 335, 1971.
Murphy JP: Cerebral infarction in migraine. Neurology 5: 359 – 361, 1955.
Olesen J, Larsen B, Lauritzen M: Focal hyperemia followed by spreading oligemia and impaired activation of rCBF in classic migraine. Ann Neurol 9: 344 – 352, 1981.
Lauritzen M, Olesen J: Regional cerebral blood flow during migraine attacks by xenon-133 inhalation and emission tomography. Brain 107: 447 – 461, 1984.
Olesen J: The ischemic hypotheses of migraine. Arch Neurol 44: 321 – 322, 1987.
Pearce JMS: Is migraine explained by Leao’s spreading depression? Lancet 2: 763 – 766, 1985.
Blau JN: Migraine pathogenesis: the neural hypothesis reexamined. J Neurol Neurosurg Psychiatry 74: 437 – 442, 1984.
Leao AAP: Spreading depression of activity in the cerebral cortex. J Neurophysiol 7: 359 – 390, 1944.
Kalendovsky Z, Austin JH: “Complicated migraine,” its association with increased platelet aggregability and abnormal plasma coagulation factors. Headache 15: 18 – 35, 1975.
Jones RJ, Forsythe AM, Amess JAL: Platelet aggregation in migraine patients during the headache-free interval. Adv Neurol 33: 275 – 278, 1982.
Welch KMA: Migraine. A biobehavioral disorder. Arch Neurol 44: 323 – 327, 1987.
Hachinski V: The nature of migraine. Arch Neurol 44: 327, 1987.
Lennox WG, Lennox MA: Borderlands of Epilepsy. Little, Brown, Boston, 1960.
Basser LS: The relation of migraine and epilepsy. Brain 92: 285 – 300, 1969.
Bille B: Migraine in school children. Acta Paedol 51 (suppl 136): 1 – 151, 1962.
Lees F, Watkins SM: Loss of consciousness in migraine. Lancet 2: 647 – 750, 1963.
Slatter KH: Some clinical and EEG findings in patients with migraine. Brain 91: 85 – 98, 1968.
Klee A: A Clinical Study of Migraine with Particular Reference to the Most Severe Cases. Munksgaard, Copenhagen, 1969.
Ziegler DK, Wong G: Migraine in childhood: clinical and EEG study of families. Epilepsia 8: 171 – 187, 1967.
Camfield PR, Metrakos K, Andermann F: Basilar migraine, seizures and severe epileptiform EEG abnormalities. Neurology 28: 584 – 588, 1978.
Panayiotopoulos CP: Basilar migraine, seizures, and severe epileptic EEG abnormalities. Neurology 30: 1122 – 1125, 1980.
Gastaut H: A new type of epilepsy: benign partial epilepsy of childhood with occipital spike-waves. Clin Electroenceph 13: 13 – 22, 1982.
Deonna T, Ziegler AL, Despland PA: Paroxysmal visual disturbances of epileptic origin and occipital epilepsy in children. Neuropediatrics 15: 131 – 135, 1984.
Vahlquist B: Migraine in children. Int Arch Allerg 7: 348 – 355, 1955.
Hockaday JM: Migraine in Childhood. Butter worths, London, 1988.
Haas DC, Pineda GS, Lourie H: Juvenile head trauma syndromes and their relationship to migraine. Arch Neurol 32: 727 – 730, 1975.
Oka H, Kako M, Matusushima M, et al.: Traumatic spreading depression syndrome. Review of particular type of head injury in 37 patients. Brain 100: 287 – 298, 1977.
Snoek JW, Minderhoud JM, Wilmink JF: Delayed deterioration following mild head injury in children. Brain 107: 15 - 36, 1984.
Eldridge PR, Punt JAG: Transient cortical blindness in children. Lancet 1: 815 – 816, 1988.
Matthews WB: Footballer’s migraine. Br Med J 2: 326 – 327, 1972.
Maratos J, Wilkinson M: Migraine in children: a medical and psychiatric study. Cephalalgia 2: 179 – 187, 1982.
Vijayan N, Gould S, Watson C: Exposure to sun and precipitation of migraine. Headache 20: 42 – 43, 1980.
Rossi LN, Vassella F, Bajc O, et al.: Benign migraine-like syndrome with CSF pleocytosis in children. Dev Med Child Neurol 27: 192 – 198, 1985.
Bartleson JD, Swanson JW, Whisnant JP: A migrainous syndrome with cerebrospinal fluid pleocytosis. Neurology 31: 1257 – 1262, 1981.
Kremnitzer M, Golden GS: Hemiplegic migraine: cerebrospinal fluid abnormalities. J Pediatr 85: 139, 1974.
Novum MJ: Migraine and CSF pleocytosis. Neurology 32: 1073 – 1074, 1982.
Schraeder PL, Burns RA: Hemiplegic migraine associated with an aseptic meningeal reaction. Arch Neurol 37: 377 – 379, 1980.
Ferrari MD, Buruma OJ, van Laar-Ramaker H, et al.: A migrainous syndrome with pleocytosis. Neurology 33: 813, 1983.
Forsythe WI, Gillies A, Sills MA: Propranolol (Inderal) in the treatment of childhood migraine. Dev Med Child Neurol 26: 737 – 741, 1984.
Ziegler DK, Hurwitz A, Hassanein RS, et al.: A comparison of propranolol and amitriptyline. Arch Neurol 44: 486 – 489, 1987.
Rosen JA: Observations on the efficacy of propranolol for the prophylaxis of migraine. Ann Neurol 13: 92 – 93, 1983.
Bille B, Ludvigsson J, Sanner G: Prophylaxis of migraine in children. Headache 17: 61 – 63, 1977.
Sills M, Congdon P, Forsythe WI: Clonidine and childhood migraine—a pilot and double-blind study. Dev Med Child Neurol 24: 837 – 841, 1982.
Sorge F, De Simone R, Marano E, et al.: Flunarazine in prophylaxis of childhood migraine. Cephalalgia 8: 1 – 6, 1988.
Solomon GA, Steel G, Spaccavento LJ: Verpamil prophylaxis of migraine. A double-blind, placebo-controlled study. JAMA 250: 2500 – 2502, 1983.
Rascol A, Montastruc JL, Rascol O: Flunarazine versus pizotifen: a double-blind study in the prophylaxis of migraine. Headache 26: 83 – 85, 1986.
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Isler, W. (1992). Acute Hemiplegia and Migraine. In: Raimondi, A.J., Choux, M., Di Rocco, C. (eds) Cerebrovascular Diseases in Children. Principles of Pediatric Neurosurgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-2800-4_18
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DOI: https://doi.org/10.1007/978-1-4612-2800-4_18
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