1.2.3 Hemiplegic migraine

Description:

Migraine with aura including motor weakness.

Diagnostic criteria

1. Attacks fulfilling criteria for 1.2 Migraine with aura and criterion B below
2. Aura consisting of both of the following:
3. fully reversible motor weakness^1,2
4. fully reversible visual, sensory and/or speech/language symptoms.

Notes:

1. The term plegic means paralysis in most languages, but most attacks are characterized by motor weakness.
2. Motor symptoms generally last less than 72 hours but, in some patients, motor weakness may persist for weeks.

Comment:

It may be difficult to distinguish weakness from sensory loss.