Date of Presentation
5-6-2021 12:00 AM
College
School of Osteopathic Medicine
Poster Abstract
While most migraine headaches are benign, easily treatable, and able to be discharged home, there is a small percentage that blur the lines and raise concern for neurological compromise. We describe one such rare case of a 26-year-old male with no known history of migraine that presented to the emergency department with acute onset obtundation, confusion, aphasia, and weakness. Labs and imaging of the patient were grossly unremarkable. Treatment with a migraine cocktail and valproate led to full recovery within 24 hours of initial presentation. Infrequently, complex migraines can present with significant and concerning mental status changes. Early imaging, neurologic evaluation, and pharmacological intervention are helpful to symptom management, improved condition, and shorter hospital stays.
Keywords
migraine, headache disorders, complicated migraine
Disciplines
Medicine and Health Sciences | Nervous System Diseases | Neurology | Pathological Conditions, Signs and Symptoms
Document Type
Poster
Included in
Nervous System Diseases Commons, Neurology Commons, Pathological Conditions, Signs and Symptoms Commons
Dazed and Confused: A Complex Migraine Variant
While most migraine headaches are benign, easily treatable, and able to be discharged home, there is a small percentage that blur the lines and raise concern for neurological compromise. We describe one such rare case of a 26-year-old male with no known history of migraine that presented to the emergency department with acute onset obtundation, confusion, aphasia, and weakness. Labs and imaging of the patient were grossly unremarkable. Treatment with a migraine cocktail and valproate led to full recovery within 24 hours of initial presentation. Infrequently, complex migraines can present with significant and concerning mental status changes. Early imaging, neurologic evaluation, and pharmacological intervention are helpful to symptom management, improved condition, and shorter hospital stays.