AI Article Synopsis
- Acute hemiplegia with headaches can be caused by nonvascular issues, not just strokes.
- Two case studies illustrate this: one patient had sporadic hemiplegic migraines, while the other showed transient symptoms with headaches and neurological deficits.
- The findings highlight the challenge of diagnosing acute motor weakness and emphasize the need to consider nonvascular causes to avoid misdiagnosis and incorrect treatment.
Article Abstract
Background: Acute hemiplegia with headaches does not always have a vascular origin.
Cases: 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.
Discussion: 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.
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| http://dx.doi.org/10.1016/j.lpm.2006.11.019 | DOI Listing |
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