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Familial hemiplegic migraine in a child with seizure disorder: clinical history is the key to diagnosis
  1. Pranav Balakrishnan1,
  2. Phalguna Kousika Katakam1 and
  3. Asha P Hegde2
  1. 1 Department of Paediatrics, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India
  2. 2 Department of Paediatrics, Manipal Melaka Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India
  1. Correspondence to Dr Phalguna Kousika Katakam, phalguna.kousika{at}


Headache is a common presenting complaint in the paediatric population, with often migraine being a clinical diagnosis. Hemiplegic migraine is characterised by aura, sudden onset weakness of one side of the body which usually recovers without any residual neurological deficit. We report a child with a history of seizure disorder, well controlled and off medication for 3 years, who presented with a headache, aura and transient hemiplegia. Similar history in the patient’s mother suggests the diagnosis of familial hemiplegic migraine. We would like to emphasise the importance of detailed history as an important aid in the diagnosis of neurological disorders in children.

  • paediatrics (drugs and medicines)

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  • Contributors PB and PKK have been involved in the preparation of the manuscript. APH has been active in giving her expert inputs for manuscript editing.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Parental/guardian consent obtained.