21. Possible Basilar Artery Migraine Diagnosis The length of time that your have had the weakness puts you into the hemiplegic migraineclassification while you also clearly have Basilar migraine symptoms. http://www.medhelp.org/forums/neuro/archive/15435.html

Advertisement Welcome to Med Help International A not-for-profit organization Questions in The Neurology Forum are being answered by doctors from The Cleveland Clinic , consistently ranked one of the best hospitals in America. Subject: Possible Basilar Artery Migraine Diagnosis Topic Area: Headache Forum: The Neurology and Neurosurgery Forum Question Posted By: Judith on Thursday, January 21, 1999 Although a diagnosis of BAM is being seriously considered by my neurologist, I am at present only taking Feverfew twice daily, persantine 75 mg. daily, 81 mg. aspirin daily and folate. My MRI was negative for stroke evidence and 2 EEGs, Doppler carotids, echocardiogram, ECGs. The SPECScan showed an area in the left brain of decreased activity and flow. My symptoms for which I wqas hospitalized for 11 days are as follows: numbness, tingling and weakness on the right side from eyelid to foot, which I still have although some strength has returned. I continue to have auras but no headaches and am experiencing continued mental confution during these attacks which can last up to 14 hours. My gait

22. Member Sign In Clinical symptoms of patients with sporadic hemiplegic migraine (SHM) are identicalto those of familial hemiplegic migraine (FHM), and both forms differ from http://www.medscape.com/viewarticle/450719

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23. Member Sign In Neurosurgery. Migraine With Aura Including Familial hemiplegic migraine andCluster Headache. Migraine With Aura. Familial hemiplegic migraine. Familial http://www.medscape.com/viewarticle/408380_2

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24. Familial Hemiplegic Familial hemiplegic migraine. hemiplegic migraine is characterized by the onset ofunilateral (One sided) sensory or motor signs during an episode of migraine. http://www.headachepainfree.com/familial_hemiplegic_migraine.htm

HeadachePainfree.Com Familial Hemiplegic Migraine Hemiplegic Migraine is characterized by the onset of unilateral (One sided) sensory or motor signs during an episode of migraine. Hemisyndromes are more common in children than in adults and may be characterized by numbness of the face, arm, and leg; unilateral weakness; and aphasia (Inability to express words). More than one attack is uncommon in the pediatric age group. Hemiplegic migraine occurs in two forms, sporadic and familial, both of which typically begin in childhood and cease with adulthood. The age of onset of hemiplegic migraine may be earlier than that of common migraine. The attacks are frequently precipitated by minor head injury. Accompanying changes in consciousness ranging from confusion to coma are a feature of hemiplegic migraine , especially in childhood, and occur in 23 percent of patients. The hemiplegic migraine is characterized by neurologic deficits that range from mild hemiparesis to full hemiplegia. The deficit may persist for some time after the headache. The hemiplegia may be part of the aura and last less than 1 hour, or it may continue through the headache phase and last for days or weeks. It is often associated with pernicious nausea, vomiting, dehydration, and despair. Even though symptoms usually last for hours or days, affected individuals are rarely left with permanent deficits. It is unusual for a child to develop a completed stroke after a single episode. Hemiplegic migraine in an older child or adolescent has a relatively good prognosis and a positive family history of similar hemiplegic events is often elicited.

25. Welcome To The Department Of Psychiatry Background Familial hemiplegic migraine, an autosomal dominant disorder characterizedby attacks of transient hemiparesis followed by a migraine headache, is http://www.psychiatry.wustl.edu/Resources/LiteratureList/2001/August/ducros-a.ht

26. Hemiplegic Migraine - HealthBoards Bulletin Board My employer's physician suggests that if the epilepsy monitoring unit can't findanything, my doctors should look at hemiplegic migraine. Does anyone know http://www.healthboards.com/ubb/Forum58/HTML/000434.html

Click Here to Visit our Sponsor FREE HealthBoards.com info from vendors! Select: Signup Headaches - new products and services Aging Alternative Medicine Back Care Beauty Free Stuff Health Products Herbal Products Natural Healing Nutrition Pain Mgmt Quit Smoking Sexuality Skin Care Stress Mgmt Viagra Vitamins Weight Loss Yoga Many more topics available! Enter your email address: Enter your zip/postal code: HealthBoards Bulletin Board Headaches Hemiplegic migraine profile register preferences faq ... next oldest topic Author sekharp Member Posts: 28 From:Eastern Sacramento Valley, Calif. Registered: Oct 2002 posted 01-15-2003 03:05 PM Hello. Right now, I am being investigated for epilepsy, given the majority of my recent symptoms strongly correlate. As well, I have a history of seizures as a child and a single seizure in my teen years. My employer's physician suggests that if the epilepsy monitoring unit can't find anything, my doctors should look at "hemiplegic migraine." Does anyone know anything about this? What is the treatment, prognosis, etc? Thanks. All of us has an angel, if only we know where to look.

27. The Clinical Spectrum Of Familial Hemiplegic Migraine Associated With Mutations Titre, The clinical spectrum of familial hemiplegic migraine associatedwith mutations in a neuronal calcium channel. Auteur(s), Ducros http://www.inserm.fr/faitsmarquants/FaitsMarquants2001.nsf/b836cd152fec5bddc1256

28. Familial Hemiplegic Migraine Information Page Diseases Database Familial hemiplegic migraine Information Page. Familial hemiplegic migraine NoUMLS definitions. GoFamilial hemiplegic migraine specific sites. http://www.diseasesdatabase.com/sieve/item1.asp?glngUserChoice=4693

29. GeneReviews: Familial Hemiplegic Migraine Your browser does not support HTML frames so you must view Familial HemiplegicMigraine in a slightly less readable form. Please follow this link to do so. http://www.geneclinics.org/profiles/fhm

Your browser does not support HTML frames so you must view Familial Hemiplegic Migraine in a slightly less readable form. Please follow this link to do so.

30. ORPHANET® : Hemiplegic Migraine Translate this page ORPHANET. ORPHANET database access. hemiplegic migraine.Direct access to details Alias Home Page. http://www.orpha.net/static/GB/hemiplegic_migraine_familial.html

ORPHANET database access Hemiplegic migraine Direct access to details Alias : Home Page

31. Hemiplegic Migraine - General Practice Notebook medical information from General Practice Notebook. hemiplegic migraine.hemiplegic migraine is a term used to describe the migraine http://www.gpnotebook.co.uk/cache/1154482184.htm

hemiplegic migraine Hemiplegic migraine is a term used to describe the migraine syndrome that is associated with a weakness or sensory loss of the limbs on one side of the body. The headache usually precedes the weakness by a day or more. The limbs gradually return to normal over several days. Often there is a family history of this type of migraine, usually with an autosomal dominant inheritance. It is always necessary to exclude another possible underlying cause for the hemiplegia such as an angioma. It is a rare form of migraine. Click here for more information...

32. Familial Hemiplegic Migraine - General Practice Notebook medical information from General Practice Notebook. familial hemiplegicmigraine. hemiplegic migraine is a term used to describe the http://www.gpnotebook.co.uk/cache/597295176.htm

familial hemiplegic migraine Hemiplegic migraine is a term used to describe the migraine syndrome that is associated with a weakness or sensory loss of the limbs on one side of the body. The headache usually precedes the weakness by a day or more. The limbs gradually return to normal over several days. Often there is a family history of this type of migraine, usually with an autosomal dominant inheritance. It is always necessary to exclude another possible underlying cause for the hemiplegia such as an angioma. It is a rare form of migraine. Click here for more information...

33. Familial Migraine with aura including hemiparesisand where at least one first degree relative has identical attacks.......Familial hemiplegic migraine. http://www.dent.ucla.edu/sod/depts/oralfacial/courses/merrill/hemipleg.html

Familial Hemiplegic Migraine Description: Migraine with aura including hemiparesis and where at least one first degree relative has identical attacks. Diagnostic Criteria: A. Fulfils criteria for 1.2. B. The aura includes some degree of hemiparesis and may be prolonged. C. At least one firs degree relative has identical attacks. Comments: This disorder is marked by paralysis of the limbs on one side (hemiplegia). It may be seen as a feature of the prodromal phase and resolve as the headache appears, as with migraine. The headache is usually ipsilateral to the hemiplegia. Brainstem dysfunction is commonly observed with the headache (see Basilar Migraine). This disorder probably has the same pathophysiology as migraine with typical aura. The reason for still keeping it separate is that families have been described where attacks are strikingly identical and sometimes long lasting. The term familial hemiplegic migraine has been abused since in most families different forms of migraine occur and most patients with hemiplegic attacks have these intermingled with more frequent attacks of migraine without hemiparesis. The headache occurs in both sporadic and familial forms. Usually beginning in childhood, sometimes as early as 1-2years and generally ceasing in adulthood. The hemiplegia is usually part of the aura and may last an hour or longer. Headache follows the hemiplegia or may occur with it. There is a male predominance. CSF pleocytosis may be present (predominantly PMN's). Cerebral angiography performed during the hemiparetic attacks are usually unremarkable although constriction of the internal carotic and basilar arteries have been seen.

34. Headache Classification Recent studies report that the defective gene is located on chromosome 19in familial hemiplegic migraine. 1.2.3Familial hemiplegic migraine. http://www.dent.ucla.edu/sod/depts/oralfacial/courses/merrill/haclass.html

Classification of Headache Robert L. Merrill, DDS, MS Adjunct Associate Professor UCLA School of Dentistry Most of the research work published in the past was difficult to interpret because there were no clearly defined criteria established for the diagnosis of different types of headache. This problem was addressed by the International Headache Society (IHS) in 1988 when the "Classification and Diagnostic Criteria for Headache Disorders, Cranial Neuralgias and Facial Pain" was published. All the publications subsequent to that have relied on these criteria for the diagnosis of various headache syndromes. A familiarity with this classification will be worthwhile. Some aspects of the classification and diagnostic criteria will be detailed in the following sections. 13 general groupings of headache disorders Migraine Tension-type Headache Cluster Headache and Chronic Paroxysmal Hemicrania Miscellaneous headaches unassociated with structural lesions Headache associated with head trauma Headache associated with vascular disorders. Headache associated with non-vascular intracranial disorder Headache associated with substances or their withdrawal Headache associated with non-cephalic infections.

35. Familial Hemiplegic Migraine - Sang Thrombose Vaisseaux Familial hemiplegic migraine. Sang Thrombose Vaisseaux. Vol. Summary Familialhemiplegic migraine is an autosomal dominant form of migraine with aura. http://www.john-libbey-eurotext.fr/articles/stv/11/8/579-86/en-resum.htm

Sang Thrombose Vaisseaux. Vol. 11, Issue 8, October 1999 Familial hemiplegic migraine Sang Thrombose Vaisseaux. Vol. 11, Issue 8, October 1999: 579-86, Mini-Reviews Summary: Author(s): Anne Ducros Keywords: © John Libbey Eurotext

36. Www.pnl.gov/er_news/12_96/down_ar.txt 6870, fax 423576-7954, e-mail sfj@ornl.gov) *Migraine Gene Discovered An abnormallystructured gene is the culprit in familial hemiplegic migraine, a rare http://www.pnl.gov/er_news/12_96/down_ar.txt

37. EMedicine - Migraine Variants Article Excerpt By Gretchen L Familial hemiplegic migraine. This variant is autosomal dominant. A gene has beenidentified for familial hemiplegic migraine on chromosome band 19p13. http://www.emedicine.com/neuro/byname/migraine-variants.htm

38. EMedicine - Childhood Migraine Variants Article Excerpt By hemiplegic migraine (usually an autosomal dominant disorder) may presentin early childhood and occasionally may continue into adulthood. http://www.emedicine.com/neuro/byname/childhood-migraine-variants.htm

39. Echocardiography Pfaffenrath V, Pollmann W, Autenrieth G, Rosmanith U. Mitral valve prolapse andplatelet aggregation in patients with hemiplegic and nonhemiplegic migraine. http://www2.umdnj.edu/~shindler/migraine.html

Migraine and Echocardiography E-chocardiography Journal: Alphabetical List Chronological List Images Home Page The migraine patient may present with aura without headache, occasionally mimicking a transient ischemic attack. The unilateral sensory loss, hemiparesis, or dysphasia may prompt referral to echocardiography to rule out a cardiac source of embolus. Migraine by B. Todd Troost, M.D. Diagnosis and Treatment of Headaches in Office Practice by David C. Haas, M.D. Frequent questions: American Council for Headache Education (ACHE) St. Anthony's Fire. A historical account of an ancient disease and it's relationship to the modern treatment of migraine. The following references discuss a possible pathophysiological relationship between migraine and mitral valve prolapse: Herman P. Migraine and mitral valve prolapse. Archives of Neurology 46(11):1165, 1989 Nov. Herman P. Migraine, large pupils, mitral valve prolapse and emotional disturbances: an autonomic disorder. Headache 27(6):340-4, 1987 Jun. Pfaffenrath V, Pollmann W, Autenrieth G, Rosmanith U. Mitral valve prolapse and platelet aggregation in patients with hemiplegic and non-hemiplegic migraine.

40. Prepagina It is involved in the characterization of new mutations associated with Familialhemiplegic migraine with or without Progressive Cerebellar Ataxia (FHM and FHM http://www.unisi.it/ricerca/ist/cmn/migraine/prepagina.html

The Italian Migraine Team The Team from Italy have major interests in the clinical, genetics and pathophysiology of inherited neurological disorders. The ITALIAN MIGRAINE TEAM consists of two research groups: The Laboratory of Clinical Molecular Biology, I.R.C.C.S. H San Raffaele, Milano, coordinated by Dr. Paola Carrera. It is involved in the characterization of new mutations associated with Familial Hemiplegic Migraine with or without Progressive Cerebellar Ataxia (FHM and FHM/PCA) and in studying the genetics of more common types of Migraine (MO and MA). In addition, the cloning of full-length cDNAs from CACNA1A human gene is being performed. Exchanges with other teams of the “Neuronal Calcium Channel in Disease” Research Training Network (link) are planned in order to maximize the sensitivity of mutation detection and to functionally characterize new mutations associated with different phenotypes. The Clinical Molecular Biology Laboratory has a decade’s worth of experience in mutation detection technology, with a group of fourteen people involved in either molecular genetics research or diagnostics. It is located in the S. Raffaele Hospital Scientific Institute

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