Headaches and acute hemiplegia of nonvascular origin: two cases

Acute hemiplegia with headaches does not always have a vascular origin. We describe two cases with headaches that included motor weakness symptoms. One patient had sporadic hemiplegic migraines. The second met the diagnosis criteria for a transient syndrome with headache, neurological deficits and c...

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Bibliographic Details
Published in:La Presse médicale (1983) 2007-03, Vol.36 (3 Pt 1), p.425-427
Main Authors: Barroso, Bruno, Bertandeau, Eric, Dakar, Alexandre, Larrieu, Jean-Marc
Format: Article
Language:fre
Subjects:
Acute Disease
Adolescent
Adult
Age Factors
Aphasia - etiology
Diagnosis, Differential
Emergencies
Fatigue - etiology
Female
Follow-Up Studies
Headache - complications
Hemiplegia - diagnosis
Hemiplegia - etiology
Humans
Leukocytosis - cerebrospinal fluid
Leukocytosis - diagnosis
Migraine Disorders - complications
Recurrence
Stroke - diagnosis
Syndrome
Time Factors
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Summary:Acute hemiplegia with headaches does not always have a vascular origin. We describe two cases with headaches that included motor weakness symptoms. One patient had sporadic hemiplegic migraines. The second met the diagnosis criteria for a transient syndrome with headache, neurological deficits and cerebrospinal fluid pleocytosis. These two case reports demonstrate the diagnostic difficulty that can be associated with acute motor weakness. A nonvascular origin should always be considered to prevent treatment errors, especially in the differential diagnosis of stroke.
ISSN:0755-4982
DOI:10.1016/j.lpm.2006.11.019