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Hemiplegic Migraine: A Case with Paroxysmal Shoulder-hand Syndrome

B. M. MONTGOMERY, M.D.; and W. W. KING JR., M.D.
Ann Intern Med. 1962;57(3):450-455. doi:10.7326/0003-4819-57-3-450
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This excerpt has been provided in the absence of an abstract.

This case is reported for 2 reasons. First, it provides support for recently expressed concepts of the pathophysiology of transitory hemiplegia in vascular headache of the migraine type. Secondly, it demonstrates the capability of the cortical representation of the vasomotor system to produce the shoulder-hand syndrome in the absence of contributions from mechanical factors.

CASE REPORT: A 41-year-old white male truck driver was admitted to the hospital of the Medical College of Georgia because of paralysis of the left side. This condition began as a tingling in the left arm and was followed in 15 to 20 minutes by excruciating


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