Postoperative Hemiplegic Migraine After a Laparoscopic Cholecystectomy

Abstract

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.

Postoperative hemiparesis following tonsillectomy

“…Known precipitants for hemiplegic migraine include acute stress, lack or excessive sleep, emotions, exertion, head trauma, drugs, diet, extensive sensory stimulation or may occur spontaneously [1, 3]. Hemiplegic migraine is the only migraine variant that can be classified as familial or sporadic [1, 5]. Migraine with unilateral motor symptoms (MUMS) is a subtype of hemiplegic migraine.…”