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

BMJ Case Rep. 2012 Feb 21;2012:bcr1120115274. doi: 10.1136/bcr.11.2011.5274.


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.

Publication types

  • Case Reports

MeSH terms

  • Aphasia / diagnosis
  • Aphasia / etiology*
  • Brain / diagnostic imaging
  • Brain / pathology
  • Brain / physiopathology
  • Diagnosis, Differential
  • Electroencephalography
  • Humans
  • Male
  • Middle Aged
  • Migraine Disorders / complications*
  • Migraine Disorders / diagnosis
  • Paralysis / diagnosis
  • Paralysis / etiology*
  • Tomography, X-Ray Computed