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Arnold CE. A Review of Potential Mechanisms of Cryptogenic Stroke and a Recommended Approach to Diagnosis. Neurology 2021. [DOI: 10.17925/usn.2021.17.2.104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Al-Mufti F, Alkanaq A, Amuluru K, Nuoman R, Abdulrazzaq A, Sami T, Nuoaman H, Hayes-Rosen C, Prestigiacomo CJ, Gandhi CD. Genetic Insights into Cerebrovascular Disorders: A Comprehensive Review. JOURNAL OF VASCULAR AND INTERVENTIONAL NEUROLOGY 2017; 9:21-32. [PMID: 29163746 PMCID: PMC5683023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Affiliation(s)
- Fawaz Al-Mufti
- Rutgers University - Robert Wood Johnson Medical School, Department of Neurology, Division of Neuroendovascular Surgery and Neurocritical Care, New Brunswick, New Jersey, USA
- Rutgers University - New Jersey Medical School, Department of Neurosurgery, Newark, New Jersey, USA
| | - Ahmed Alkanaq
- Rutgers University - Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA
| | - Krishna Amuluru
- University of Pittsburgh Medical Center- Hamot, Department of Neurointerventional Radiology, Erie, Pennsylvania, USA
| | - Rolla Nuoman
- Rutgers University - New Jersey Medical School, Department of Neurology, Division of Child Neurology, Newark, New Jersey, USA
| | - Ahmed Abdulrazzaq
- Rutgers University - School of Dental Medicine, Newark, New Jersey, USA
| | - Tamarah Sami
- Rutgers University - Robert Wood Johnson Medical School, Department of Neurology, New Brunswick, New Jersey, USA
| | - Halla Nuoaman
- Rutgers University - Robert Wood Johnson Medical School, Department of Neurology, New Brunswick, New Jersey, USA
| | - Caroline Hayes-Rosen
- Rutgers University - New Jersey Medical School, Department of Neurology, Division of Child Neurology, Newark, New Jersey, USA
| | - Charles J Prestigiacomo
- Rutgers University - New Jersey Medical School, Department of Neurosurgery, Newark, New Jersey, USA
| | - Chirag D Gandhi
- Westchester Medical Center, New York Medical College, Department of Neurosurgery, Valhalla, New York, USA
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Abstract
The most common scenario wherein the practicing neurologist is likely to encounter a patient with headache and hemiplegia will vary depending on his/her specific type of practice. A neurologist providing consultative service to an emergency department is far more likely to see patients with "secondary" headache and hemiplegia in the setting of either ischemic or hemorrhagic stroke than hemiplegia as a transient feature of a primary headache disorder. Neurologists subspecializing in headache medicine who practice in a tertiary referral headache clinic are more likely to encounter hemiplegic migraine, but even in that clinical setting hemiplegic migraine is by no means a frequent diagnosis. The acute onset of hemiplegia can be very frightening not only to the patient but also to the medical personnel. Given the abundance of mimicry, practitioners must judiciously ascertain the correct diagnosis as treatment may greatly vary depending on the cause of both headache and hemiplegia. In this review, we will address the most common causes of hemiplegia associated with headache.
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