Transient unilateral spatial neglect during aura in a woman with sporadic hemiplegic migraine

Author:

Di Stefano Francesca1,Floris Gianluca1,Vacca Mariangela1,Serra Giulia2,Cannas Antonino1,Borghero Giuseppe1,Marrosu Maria Giovanna3,Marrosu Francesco1

Affiliation:

1. Department of Neurology, Azienda Universitaria-Ospedaliera of Cagliari and University of Cagliari, Italy

2. Neurology Division, S. Francesco Hospital, Italy

3. Multiple Sclerosis Center, University of Cagliari, Italy

Abstract

Background Hemiplegic migraine is a rare form of migraine with aura characterized by motor aura. Although auras in hemiplegic migraine are typically complex with two or more aura symptoms, neglect has been rarely described. Case report We report the case of a 20-year-old woman with sporadic hemiplegic migraine that was investigated for the presence of unilateral spatial neglect (USN) during aura in one of her migraine attacks. Transient hemispatial neglect was observed during a right-sided migraine attack with left sensory-motor hemisyndrome; after migraine resolution there was a total recovery. Conclusions Our case demonstrates that USN may be a symptom of aura. To our knowledge, this is the first report of USN during aura in an adult with sporadic hemiplegic migraine.

Publisher

SAGE Publications

Subject

Clinical Neurology,General Medicine

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