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Familyal Hemiplejik Migren- Olgu Sunumu

Yıl 2016, Cilt: 3 Sayı: 1, 160 - 163, 11.06.2016

Ayşin Kısabay Nurşen Borand Deniz Selçuki

Öz

Hemiplejik migrenin uluslararası başağrısı derneğinin 2013 yılı ICHD-3 beta sınıflamasına göre tanı kriterleri ; auralı migren başağrısı tanı kriterlerini karşılaması en az iki atak geçirmesi, geri dönüşümlü motor güçsüzlüğün eşlik etmesi, vizüel, pozitif, duyusal veya konuşma bozukluğunun en az bir tanesinin eşlik etmesi, her bir aura semptomunun 5 dakikadan uzun, 24 saatten kısa sürmesidir. Familyal olgularda en az bir tane, birinci veya ikinci derece aile öyküsü olması şeklindedir.Tek taraflı kol ve bacağında yaklaşık bir gün süren hemiparezi ve afazi yakınmaları olan 44 yaşında kadın hasta ve aynı yakınmaları olan 14 yaşındaki oğlu kliniğimize başvurdu. Öykülerinde güçsüzlüğün eşlik ettiği auralı migren başağrısı olduğu öğrenildi. Nörolojik muayenelerinde bilateral konjuge bakışta hızlı fazı bakış yönünde nistagmus mevcuttu. İki hastanın genç inme etiyolojik tetkikleri normaldi.Migren hastalarında aura semptomu olarak hemipleji görülmesi nadir bir durumdur. Hemiparezi ve afazi nedeni ile başvuran hastalarımızın ayırıcı tanıları eşliğinde familyal hemiplejik migrenin gözden geçirilmesi planlandı.

Anahtar Kelimeler

Familyal Hemiplejik Migren Genç İnme Aura

Kaynakça

  • Pelzer N, Stam Ah, Haan J, Ferrari M.D., Terwindt G.M.Familial and sporadic hemiplegic migraine: diagnosis and treatment. Curr Treat Options Neurol 2013;15(1):13-27.
  • Olosen J., Tfelt –hansen P., Welch K., the Headaches second Edition Philadephia. Lippincott, Williams& Wilkkins, 2000:532-34.
  • Silberstein S., Lipton R., Dalessıo D., Wolff’s Headache And Other Head Pain . Seventh Edition, New york Oxford University press, 2001:546-547.
  • Politi M, Papanagiotou P, Grunwald IQ, Reith W. Case 125: hemiplegic migraine. Radiology 2007;245(2):600-3.
  • Dreier J.P., Jurkat-Rott K, Petzold G.C., Tomkins O, Klingebiel R., Kopp U.A., et al. opening of the blood-brain barrier preceding cortical edema in a severe attack of FHM type II. Neurology 2005;64(12):2145- 7.
  • Chabriat H, Vahedi K, Clark CA, Poupon C, Ducros A, Denier C, et al. Decreased hemispheric water mobility in hemiplegic migraine related to mutation of CACNA1A gene. Neurology 2000; 54:510-2.
  • Clarke JM On recurrent motor paralysis in migraine. BMJ 1910; 1: 1534-8.
  • Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, International Headache Society Reprints and permissions 3rd edition (beta version) Cephalalgia 2013; 33(9) 629–808.
  • Serdaroğlu A. Çocukluk Çağında Migren. Klinik Pediatri 2005; 4:59- 62.
  • Serdaroğlu G, Tütüncüoğlu S, Calli C, Sarıoglu B, Korkmaz H. Hemiplegic migraine with prolonged symptoms: case report. J Child Neurol 2002; 17:80-81.
  • Whitty CW. Familial hemiplegic migraine. J Neurol Neurosurg Psychiatry 1953;16:172–177.
  • Karwautz A, Wober C, Lang T, Bock A, WagnerEnnsgraber C, Vesely C, Kienbacher C, WoberBingo1 C: Psychosocial factors in children and adolescents with migraine and tension-type headache: a controlled study and review of the literature. Cephalalgia 1999; 19:32- 43.
  • Black DF. Sporadic hemiplegic migraine. Curr Pain Headache Rep 2004;8: 223-228.
  • Bradshaw P., Parson M., Hemiplegic migraine : a clinical study. QJ Medikal 1965; 34: 65-85.
  • Jacob A, Mahavish K, Bowden A, Smith Et, Enevoldson P, White R.P. Imaging abnormalities in sporadic hemiplegic migraine on conventional MRI, diffusion and perfusion MRI and MRS. Cephalalgia 2006;26(8):1004-9.
  • Butteries DJ, Ramesh V, Birchall D. Serial MRI in a case of familial hemiplegic migraine. Neuroradiology 2003;45:300-303.
  • Masuzaki M, Utsunomiya H, Yashumato S, Mitsudome A. A case of hemiplegic migraine in childhood: Transient unilateral hyperperfusion MR imaging and MR angiography. AJNR Am J Neuroradiol 2001;22:1795-7.
  • Cha YH, Millett D, Kane M, Jen J, Baloh R. Adult-onset hemiplegic migraine with cortical enhancement and oedema. Cephalalgia 2007;27:1166-70.
  • Bhatia H, Babtain F. Sporadic hemiplegic migraine with seizures and transient MRI abnormalities. Case Rep Neurol Med 2011;:258372 :1-4. 20. Bredley W, Daroff R, fenichel G., Marsden C., Neurology in clinical practice 2000:1861-2
  • Joutel A, Tournier-Lasserve E, Bousser MG. Hemiplegic migraine. Presse Med 1995; 24: 411-4.
  • Ducros A. Familial and sporadic hemiplegic migraine. Rev Neurol (Paris) 2008:164(3): 216-24.
  • http://edergi.cbu.edu.tr/ojs/index.php/cbusbed isimli yazarın CBU
  • SBED başlıklı eseri bu Creative Commons Alıntı-Gayriticari 4.0
  • Uluslararası Lisansı ile lisanslanmıştır.

Yıl 2016, Cilt: 3 Sayı: 1, 160 - 163, 11.06.2016

Ayşin Kısabay Nurşen Borand Deniz Selçuki

Öz

According to the 2013 (ICHD-3 beta) Classification of the International Headache Society (IHS), the diagnostic criteria for hemiplegic migraine are: having had at least two attacks meeting the criteria for migraine with aura, in which there were accompanying reversible motor weakness and visual, sensory or speech symptoms; each aura symptom must last no less than 5 minutes and not more than 24 hours. In familial cases, diagnosis is made when at least one first- or second-degree relative has also had attacks fulfilling the above diagnostic criteria. A 44 year old woman presented to our clinic with the complaints of unilateral hemiparesis and aphasia in the arm and leg lasting approximately one day; her 14 year old son also presented with the same complaint. It was discovered that they both had a history of migraine headaches with aura, accompanied by weakness. Their neurological examinations revealed that during bilateral conjugate gaze, nystagmus with the fast phase beating in the direction of gaze was present. For both patients, etiological tests for young stroke were normal. It is rare to see hemiplegia as an aura symptom in migraine patients. It was aimed to review familial hemiplegic migraine along with differential diagnoses of our patients presenting with hemiparesis and aphasia.

Anahtar Kelimeler

Famılıal Hemıplegıc Mıgraıne Young Stroke Aura

Kaynakça

  • Pelzer N, Stam Ah, Haan J, Ferrari M.D., Terwindt G.M.Familial and sporadic hemiplegic migraine: diagnosis and treatment. Curr Treat Options Neurol 2013;15(1):13-27.
  • Olosen J., Tfelt –hansen P., Welch K., the Headaches second Edition Philadephia. Lippincott, Williams& Wilkkins, 2000:532-34.
  • Silberstein S., Lipton R., Dalessıo D., Wolff’s Headache And Other Head Pain . Seventh Edition, New york Oxford University press, 2001:546-547.
  • Politi M, Papanagiotou P, Grunwald IQ, Reith W. Case 125: hemiplegic migraine. Radiology 2007;245(2):600-3.
  • Dreier J.P., Jurkat-Rott K, Petzold G.C., Tomkins O, Klingebiel R., Kopp U.A., et al. opening of the blood-brain barrier preceding cortical edema in a severe attack of FHM type II. Neurology 2005;64(12):2145- 7.
  • Chabriat H, Vahedi K, Clark CA, Poupon C, Ducros A, Denier C, et al. Decreased hemispheric water mobility in hemiplegic migraine related to mutation of CACNA1A gene. Neurology 2000; 54:510-2.
  • Clarke JM On recurrent motor paralysis in migraine. BMJ 1910; 1: 1534-8.
  • Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, International Headache Society Reprints and permissions 3rd edition (beta version) Cephalalgia 2013; 33(9) 629–808.
  • Serdaroğlu A. Çocukluk Çağında Migren. Klinik Pediatri 2005; 4:59- 62.
  • Serdaroğlu G, Tütüncüoğlu S, Calli C, Sarıoglu B, Korkmaz H. Hemiplegic migraine with prolonged symptoms: case report. J Child Neurol 2002; 17:80-81.
  • Whitty CW. Familial hemiplegic migraine. J Neurol Neurosurg Psychiatry 1953;16:172–177.
  • Karwautz A, Wober C, Lang T, Bock A, WagnerEnnsgraber C, Vesely C, Kienbacher C, WoberBingo1 C: Psychosocial factors in children and adolescents with migraine and tension-type headache: a controlled study and review of the literature. Cephalalgia 1999; 19:32- 43.
  • Black DF. Sporadic hemiplegic migraine. Curr Pain Headache Rep 2004;8: 223-228.
  • Bradshaw P., Parson M., Hemiplegic migraine : a clinical study. QJ Medikal 1965; 34: 65-85.
  • Jacob A, Mahavish K, Bowden A, Smith Et, Enevoldson P, White R.P. Imaging abnormalities in sporadic hemiplegic migraine on conventional MRI, diffusion and perfusion MRI and MRS. Cephalalgia 2006;26(8):1004-9.
  • Butteries DJ, Ramesh V, Birchall D. Serial MRI in a case of familial hemiplegic migraine. Neuroradiology 2003;45:300-303.
  • Masuzaki M, Utsunomiya H, Yashumato S, Mitsudome A. A case of hemiplegic migraine in childhood: Transient unilateral hyperperfusion MR imaging and MR angiography. AJNR Am J Neuroradiol 2001;22:1795-7.
  • Cha YH, Millett D, Kane M, Jen J, Baloh R. Adult-onset hemiplegic migraine with cortical enhancement and oedema. Cephalalgia 2007;27:1166-70.
  • Bhatia H, Babtain F. Sporadic hemiplegic migraine with seizures and transient MRI abnormalities. Case Rep Neurol Med 2011;:258372 :1-4. 20. Bredley W, Daroff R, fenichel G., Marsden C., Neurology in clinical practice 2000:1861-2
  • Joutel A, Tournier-Lasserve E, Bousser MG. Hemiplegic migraine. Presse Med 1995; 24: 411-4.
  • Ducros A. Familial and sporadic hemiplegic migraine. Rev Neurol (Paris) 2008:164(3): 216-24.
  • http://edergi.cbu.edu.tr/ojs/index.php/cbusbed isimli yazarın CBU
  • SBED başlıklı eseri bu Creative Commons Alıntı-Gayriticari 4.0
  • Uluslararası Lisansı ile lisanslanmıştır.
Toplam 24 adet kaynakça vardır.

Ayrıntılar

Diğer ID JA46SM95JB
Bölüm Olgu Sunumu
Yazarlar

Ayşin Kısabay Bu kişi benim

Nurşen Borand Bu kişi benim

Deniz Selçuki Bu kişi benim

Yayımlanma Tarihi 11 Haziran 2016
Yayımlandığı Sayı Yıl 2016 Cilt: 3 Sayı: 1

Kaynak Göster

APA Kısabay, A., Borand, N., & Selçuki, D. (2016). Familyal Hemiplejik Migren- Olgu Sunumu. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 3(1), 160-163.
AMA Kısabay A, Borand N, Selçuki D. Familyal Hemiplejik Migren- Olgu Sunumu. CBU-SBED. Haziran 2016;3(1):160-163.
Chicago Kısabay, Ayşin, Nurşen Borand, ve Deniz Selçuki. “Familyal Hemiplejik Migren- Olgu Sunumu”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 3, sy. 1 (Haziran 2016): 160-63.
EndNote Kısabay A, Borand N, Selçuki D (01 Haziran 2016) Familyal Hemiplejik Migren- Olgu Sunumu. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 3 1 160–163.
IEEE A. Kısabay, N. Borand, ve D. Selçuki, “Familyal Hemiplejik Migren- Olgu Sunumu”, CBU-SBED, c. 3, sy. 1, ss. 160–163, 2016.
ISNAD Kısabay, Ayşin vd. “Familyal Hemiplejik Migren- Olgu Sunumu”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 3/1 (Haziran 2016), 160-163.
JAMA Kısabay A, Borand N, Selçuki D. Familyal Hemiplejik Migren- Olgu Sunumu. CBU-SBED. 2016;3:160–163.
MLA Kısabay, Ayşin vd. “Familyal Hemiplejik Migren- Olgu Sunumu”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, c. 3, sy. 1, 2016, ss. 160-3.
Vancouver Kısabay A, Borand N, Selçuki D. Familyal Hemiplejik Migren- Olgu Sunumu. CBU-SBED. 2016;3(1):160-3.