What is hemiplegic migraine?
Rare migraine variant with migraine headache plus temporary motor weakness (hemiplegia) on one side — mimicking stroke. Familial (genetic) or sporadic.
Related: Migraine → · Dr. Jitendra Knowledge Hub → · ICHD-3 Topic →
Diagnosis
Clinical after excluding stroke — MRI/MRA, genetic testing for familial cases. Misdiagnosis as stroke or epilepsy is common.
Treatment
Acute: NSAIDs, antiemetics. Avoid triptans/ergotamines (controversial). Preventive: verapamil, acetazolamide, flunarizine, topiramate. IV magnesium for severe attacks.