BMJ Case Reports 2012; doi:10.1136/bcr.11.2011.5274
  • Unusual presentation of more common disease/injury

An unusual presentation of migraine: temporary complete body paralysis and aphasia

  1. Kin Tong Chung
  1. Respiratory Department, West Cumberland Hospital, Whitehaven, UK
  1. Correspondence to Dr Kin Tong Chung, kntg.chung{at}


A 47-year-old gentleman with a medical history of long-standing migraine presented with temporary total body paralysis and expressive aphasia for 4 h. It was also associated with worsening severe unilateral pulsating pain, nausea, photophobia, blurred vision, hearing disturbance and neck stiffness. All these symptoms were resolving gradually after 4 h and had resolved completely after 1 day. Investigations were unremarkable. Migraine was made as a diagnosis of exclusion.


  • Competing interests None.

  • Patient consent Obtained.

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