Hemiplegic migraine associated with interscalene block and general anaesthesia

Cook, C. J.; Gwynne‐Jones, David

doi:10.1111/j.1365-2044.2008.05555.x

Cited by 2 publications

(1 citation statement)

References 4 publications

(4 reference statements)

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“…12 Initiation of hemiplegic migraine attack by anesthesia and surgery was reported. 16 It is possible that operative stress caused an early postoperative hemiplegic migraine attack associated with vascular dysfunction of the central nervous system resulting in spinal morphine neurotoxicity. Ischemic injury to the spinal cord, including bladder impairment without MRI abnormalities, has been documented.…”

Section: Discussionmentioning

confidence: 99%

Central Sensory-Motor Deficit After Uneventful Single-Dose Spinal Morphine Administration in a Patient with Preexisting Migraine Headaches

Lentschener¹,

Dousset²,

Zuber³

et al. 2009

Anesthesia &Amp; Analgesia

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Hemiplegic migraine is a condition associated with vascular alteration of the central nervous system and transient neurologic deficits. Permanent morphine-induced motor dysfunction has been reported after spinal ischemia. We report a persisting central neurological deficit after single-dose spinal administration of 400 microg of morphine in a patient with no previous neurological condition. Hemiplegic migraine was thought to be present when the patient emerged from anesthesia. Weakness in the left quadriceps and saddle anesthesia of the perineum and urinary retention of central origin remained present 3 yr later. Over the 3 postoperative years, the patient was admitted to a neurological unit 5 times because of acute headache associated with complete left-sided hemiplegia. These symptoms resolved within 24 h of onset. Hemiplegic migraine was thought to be the most likely diagnosis of these recurrent attacks. We hypothesize that the patient's persistent deficits were caused by a combination of spinal morphine and spinal cord vascular dysfunction associated with hemiplegic migraine.

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Section: Discussionmentioning

confidence: 99%

Central Sensory-Motor Deficit After Uneventful Single-Dose Spinal Morphine Administration in a Patient with Preexisting Migraine Headaches

Lentschener¹,

Dousset²,

Zuber³

et al. 2009

Anesthesia &Amp; Analgesia

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Postoperative Hemiplegic Migraine After a Laparoscopic Cholecystectomy

Happel

Quiko²,

Phun³

et al. 2017

A & A Case Reports

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We report the case of a 35-year-old woman who developed severe right-sided hemiplegia and hemisensory loss shortly after emergence from general anesthesia for a laparoscopic cholecystectomy. Her medical history was significant for migraine with aura and a family history of transient hemiparesis thought to be a result of a transient ischemic attack. The patient's deficits slowly resolved, and she was ultimately diagnosed with familial hemiplegic migraine after a negative workup for cerebrovascular accidents.

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Hemiplegic migraine associated with interscalene block and general anaesthesia

Cited by 2 publications

References 4 publications

Central Sensory-Motor Deficit After Uneventful Single-Dose Spinal Morphine Administration in a Patient with Preexisting Migraine Headaches

Central Sensory-Motor Deficit After Uneventful Single-Dose Spinal Morphine Administration in a Patient with Preexisting Migraine Headaches

Postoperative Hemiplegic Migraine After a Laparoscopic Cholecystectomy

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