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Hemiplegic migraine is a type of migraine headache characterized by motor weakness affecting only one side of the body, accompanied by aura. There is often an impairment in vision, speech, or sensation. It can run in the family, called familial hemiplegic migraine, or in a single individual, called sporadic hemiplegic migraine.
Familial hemiplegic migraine (FHM) is an autosomal dominant type of hemiplegic migraine that typically includes weakness of half the body which can last for hours, days, or weeks. It can be accompanied by other symptoms, such as ataxia , coma , and paralysis.
As of 2014, no treatment strategy has yet been investigated in a randomized clinical trial. [1] Verapamil, nimodipine, and other calcium channel blockers may help reduce the intensity and frequency of the headaches. [1] A clinician may recommend rest and the avoidance of activities or vasoactive drugs which trigger symptoms (see § Causes). [1]
Olivia Begasse de Dhaem, M.D., a board-certified neurologist and headache specialist, and a member of the American Headache Society, has more to add: “Without treatment, migraine can interfere ...
Rescue treatment involves acute symptomatic control with medication. [4] Recommendations for rescue therapy of migraine include: (1) migraine-specific agents such as triptans, CGRP antagonists, or ditans for patients with severe headaches or for headaches that respond poorly to analgesics, (2) non-oral (typically nasal or injection) route of administration for patients with vomiting, (3) avoid ...
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AHC patients exhibit a wide range of symptoms in addition to hemiplegic attacks. [1] These can be further characterized as paroxysmal and non-paroxysmal symptoms. Paroxysmal symptoms are generally associated with hemiplegic attacks and may occur suddenly with hemiplegia or on their own. Paroxysmal symptoms may last for variable amounts of time.
Migraine surgery is an outpatient procedure which addresses peripheral nerves through limited incisions. Depending on the symptoms of the patient and the screening results following nerve blocks or Botox, different areas of the head and neck may be addressed to treat the nerves found to be the migraine trigger in a given patient.