Sporadic hemiplegic migraine has the same clinical features as fhm, but with no family history of motor weakness 1. Three genes have been identified for familial hemiplegic migraine. Pdf familial hemiplegic migraine fhm is a rare, dominantly inherited subtype of migraine with. Mutations causing fhm type 3 have been identified in scn1a, the gene encoding the na v 1. A hemiplegic migraine can run in the family familial hemiplegic migraine or. The two distinct types of hemiplegic migraine have slightly different causes, symptoms, and risk factors. If you have fhm, each of your children will have a 50 percent chance of inheriting the condition. Review of familial hemiplegic migraine, successful outcome. Familial hemiplegic migraine is the form of hm in which this family link can be established, whereas hm that occurs without evidence of this genetic connection is called sporadic hemiplegic migraine. Transient visual, sensory, motor, aphasic, and basilartype symptoms are frequent auras. The clinical spectrum of familial hemiplegic migraine associated with.
These episodes have included fever, seizures, prolonged weakness, coma, and, rarely, death. To access free multiple choice questions on this topic, click here. Familial hemiplegic migraine fhm is a rare subtype of migraine with aura. Hemiplegic migraine can be easily misdiagnosed at its first. Familial hemiplegic migraine, neuropsychiatric symptoms, and erdheim.
It is characterized by migraine with aura along with motor impairment such as weakness on one side of the body, known as hemiparesis, in addition to classic aura which is marked by visual, sensory, andor speech disturbances. Unusually severe migraine episodes have been reported in some people with familial hemiplegic migraine. Pdf familial hemiplegic migraine and episodic ataxia. Hemiplegic migraine may be familial or sporadic, as discussed in the following. Pdf familial hemiplegic migraine, neuropsychiatric. Familial hemiplegic migraine with progressive cerebellar. This article cites 22 articles, 6 of which you can access for free at. Familial hemiplegic migraine fhm is an autosomal dominant disorder comprised of migraine with aura and associated neurologic deficit, classically motor ie, hemiparesis, with at least one first. Hemiplegic migraine presenting with prolonged somnolence. Familial hemiplegic migraine is a rare type of migraine typically characterized by weakness or even paralysis on one side of the body. Familial hemiplegic migraine and spreading depression ncbi. The diagnostic criteria for familial hemiplegic migraine require that at least one. Familial hemiplegic migraine fhm affects at least two close relatives in the same family. Chester disease article pdf available in headache the journal of head and face pain 449.
Familial hemiplegic migraine fhm commonly begins during childhood or adolescence. Hemiplegic migraine hm is a rare subtype of migraine with. Pdf pgd for familial hemiplegic migraine on polar bodies. Familial hemiplegic migraine diagnosis and treatment. Individuals with fhm are initially affected in the first or second decade of life. Recently, knockin mice carrying human pathogenic fhm1 mutations were generated, which. Sporadic and familial hemiplegic migraine the basics about hemiplegic migraines. Familial hemiplegic migraine fhm is a rare, dominantly inherited subtype of migraine with aura, where hemiplegia occurs during the aura phase. Familial hemiplegic migraine genetic and rare diseases. Hemiplegic migraine is a rare form of migraine where people experience weakness on one side of their body hemiplegia in addition to the migraine headache attack.
43 519 1130 1144 753 814 1370 405 925 466 1304 1497 507 725 1119 241 281 367 10 1461 1379 678 189 284 515 1359 259 198 488 1212 776 287 312 1369 1377 160 1475 74 927