산발성 반신 마비성 편두통 2례

Two Cases of Sporadic Hemiplegic Migraine

반신 마비성 편두통은 평상시 두통이 없거나 가족력이 없으면 진단이 지연될 수 있으므로 반신마비의 감별진단으로 꼭 고려해야 한다. 저자들은 두통의 가족력이 없이 평소 심한 두통과 함께 반복적인 반신마비가 있었던 환자들에서 flunarizine 투여 후 호전된 산발성 반신 마비성 편두통의 2례를 경험하였기에 보고한다.

Hemiplegic migraine is characterized by the occurrence of migraine attacks with unilateral weakness. The attack usually starts in childhood, adolescence, or early adulthood. The diagnosis may be delayed if there is no relevant family history. We experienced two cases of hemiplegic migraine of 8 and 14 years old girls whose neuroimaging studies including MRA showed no abnormal findings in the acute phases and the ictal EEG findings also revealed normal. The hemiplegic attacks associated with sensory disturbance were improved by calcium channel blocker(Flunarizine). Hemiplegic migraine should be considered in the differential diagnosis of a pediatric hemiparesis even if there is no familial migraine history.