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July 1982

Co-occurring Ophthalmoplegia and Hemiparesis in a Case of Migraine

Author Affiliations

From the Department of Neurology, The Johns Hopkins Medical Institutes, Baltimore City Hospitals.

Arch Neurol. 1982;39(7):445-446. doi:10.1001/archneur.1982.00510190063023

The characteristics of ophthalmoplegic and hemiplegic migraine have been well described,1-5 but, to our knowledge, the simultaneous occurrence of these two syndromes has not been reported. A case of familial migraine with stupor, internal and external ophthalmoplegia, contralateral hemiplegia, and hypesthesia is presented.

REPORT OF A CASE  In August 1980, a 20-year-old, righthanded, single man was brought to the Baltimore City Hospital in a stupor. His medical history was remarkable for a right frontal sinus fracture in 1975, treated by open reduction, and an automobile accident in May 1980, with laceration of his liver, which required laparotomy. Both injuries were without neurologic sequels. There were no general medical problems. His 15-year-old brother had occasional right-sided throbbing headaches accompanied by hemiparesis on the left side; examination elsewhere during one of the attacks included a normal EEG and brain scan.The patient had had a three-year history of intermittent, right-sided headaches

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