Yadav, Sumeet and Talukder, Michelle and Duong, Jacky (2020) Not All Patients with Hemiplegia Need Alteplase: A Case of Hemiplegic Migraine. European Journal of Case Reports in Internal Medicine, 7 (6). pp. 1-3. ISSN ISSN: 2284-2594
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Abstract
Hemiplegic migraine (HM) is a rare type of migraine which presents with motor and sensory impairment like a cerebrovascular accident (CVA). We present a case of a 36-year-old female, with a prior CVA treated with alteplase, who presented to the emergency department with stroke-like symptoms with a duration of 1 hour. The NIH Stroke Scale score was 22 at presentation. The patient received alteplase under the supervision of a neurologist after head CT confirmed no bleed. Further work-up revealed no acute or remote ischaemia or infarction. This case demonstrates the importance of a thorough history, intercommunication between health systems and integrated Electronic Medical Records (EMR) for early diagnosis and management of HM.
| Item Type: | Article |
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| Uncontrolled Keywords: | Hemiplegic migraine, alteplase, CVA, stroke |
| Subjects: | 600 Tecnologia - Scienze applicate 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) |
| Depositing User: | Marina Spanti |
| Date Deposited: | 14 Dec 2021 13:07 |
| Last Modified: | 14 Dec 2021 13:07 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/20904 |
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