Hemiplegic migraine

Abstract

A 30-year-old woman was admitted to the hospital with suspicion of an acute stroke due to left-sided hemiplegia and right-sided headache. In the ambulance on the way to the hospital, the symptoms gradually disappeared. When asked about her symptoms, she told that she initially had visual disturbances in the form of right-sided flickering lights on the right side of her visual field, where after she gradually had lost all strength in the right side of her body. Fifteen minutes after onset of hemiplegia, the patient developed a severe headache in the left side of the frontal part of the head. The headache was reported as pulsating, the patient became increasingly nauseous and started vomiting, and she further developed hypersensitivity towards lights and sounds.