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         Hemiplegic Migraine:     more detail
  1. Channelopathy: Cystic Fibrosis, Autosomal Dominant Polycystic Kidney, Brugada Syndrome, Familial Hemiplegic Migraine

1. Hemiplegic Migraine
List of symptoms associated with hemiplegic migraine.
http://www.achenet.org/kids/hemi.php
In This Section Kids Get Headache Too!
Realaudio: NPR Interview

Understand Pediatric Headaches

Headaches in Children
...
Summary

  • A frightening attack of sudden onset of unilateral weakness (one-sided weakness).
  • Weakness may involve face/arm/leg.
  • If the right side of the body is the affected side, the individual may not be able to speak.
  • May be triggered by mild head injury.
  • There is a familial form, with a first degree relative affected. (i.e., father, mother, uncle, aunt)
  • The headache follows the onset of weakness.
  • The weakness may last one hour to days, but usually resolves in 24 hours.
  • The familial form has been identified on chromosome 19 in 50%-60% of cases.
  • Other causes of acute onset weakness must be considered before the diagnosis is made.
Next headache type: chronic daily headache American Council for Headache Education
achehq@talley.com

This page last modified Tuesday, January 9, 2001

2. ER News - November/December 1996 - Migraine Gene
Article discusses rare form of hemiplegic migraine linked to gene on chromosome 19.
http://www.pnl.gov/er_news/12_96/migraine.htm
Migraine Gene Discovered
A n abnormally structured gene is the culprit in familial hemiplegic migraine, a rare inherited form of migraine. People with a similar neurological disorder, episodic ataxia type-2, have other alterations in the same gene, researchers found. The gene resides on chromosome 19, the organization and structure of which has long been studied by Lawrence Livermore National Laboratory's Human Genome Center. Three years ago, medical scientists at Leiden University in The Netherlands initiated a collaboration with the LLNL researchers to complete the physical mapping of the chromosome and clone the DNA of the gene for this form of migraine. Armed with the cloned DNA fragments and data from human patients studies, the Dutch researchers discovered the gene that regulates the transport of calcium into specific classes of brain cells. The researchers noted alterations in the DNA sequence in patients from the migraine families. These alterations result in the production of nonfunctional protein, which prevents calcium from being properly transported. The movement of calcium into brain cells regulates the release of neurotransmitters, which are critical elements in the network of communication among cells of the nervous system. While the type of Familial Hemiplegic Migraine associated with this gene is rare, many of its symptoms are similar to those of more common migraines. Scientists believe knowledge gained in studying this form of migraine will help understand the cause of other forms of the disorder.

3. Hemiplegic Migraine
List of symptoms associated with hemiplegic migraine.
http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

4. ACHE Articles
The inherited or familial form of hemiplegic migraine is a rare disorder found in In these families, hemiplegic migraine has an autosomal dominant
http://www.achenet.org/articles/gardner.php
Genes and Migraine By Kathy Gardner, MD Many migraineurs have other family members who also suffer with migraine headache. Mom used to have migraine headaches with her menstrual cycle, grandmother once had "sick" headaches, and brother has "sinus" headaches which are less severe but sound strangely similar to migraine if you ask questions about symptoms and triggers. For years scientists have argued whether disorders such as migraine that tend to run in families do so because of shared genes or the shared environment. People often assume that any disorder that occurs in several family members must be genetic. However, families tend to share similar diets, exposures and lifestyles, all of which might be involved in making someone susceptible to a specific disorder. A combination of genetic and environmental factors seems to be the best overall explanation for most common disorders, including migraine. Nevertheless, the fact that you occasionally find large families with many members suffering from migraine suggest a stronger genetic basis for those particular families. As it turns out, a definite inheritance pattern has been found in a few families who suffer with a severe form of migraine called hemiplegic migraine. Hemiplegic Migraine The inherited or "familial" form of hemiplegic migraine is a rare disorder found in families where two or more people suffer migraine-type headache associated with a "stroke-like" aura of weakness on one side of the body. Other neurologic symptoms can also occur and might include visual loss, difficulty with speech, confusion and numbness. In these families, hemiplegic migraine has an

5. National Headache Foundation Hemiplegic Migraine
hemiplegic migraine. hemiplegic migraine is a very rare form of migraine that is considered to be one of the more severe types of migraine.
http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

6. What Is Hemiplegic Migraine?
To understand hemiplegic migraine, we have to understand that Migraine attacksare episodic manifestations of a genetic neurological disease.
http://headaches.about.com/od/migrainediseas1/a/hemiplegic_mig.htm
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Suggested Reading Anatomy of a Migraine Is Migraine a Progressive Brain Disease?

7. The Familial Hemiplegic Migraine Mutation R192Q Reduces
The familial hemiplegic migraine mutation R192Q reduces Gprotein-mediated inhibition of P/Q-type (Ca. V
http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

8. Headache And Migraine Glossary: Hemiplegic Migraine About Headaches And Migraine
Headache and Migraine Glossary hemiplegic migraine.
http://headaches.about.com/library/glossary/bl-hemiplegic-mig.htm
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Search Headaches / Migraine Headache and Migraine Glossary Hemiplegic Migraine type of Migraine causing temporary paralysis on one side of the body (hemiplegia)
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9. The Familial Hemiplegic Migraine Mutation R192Q Reduces
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10. National Headache Foundation: Hemiplegic Migraine
hemiplegic migraine is a very rare form of migraine that is considered to be oneof the With hemiplegic migraine, there is often a familial occurrence.
http://www.headaches.org/consumer/topicsheets/hemiplegic.html

Consumer Topics
Medications Spanish Topics
HEMIPLEGIC MIGRAINE Hemiplegic migraine is a very rare form of migraine that is considered to be one of the more severe types of migraine. The sufferer may develop some temporary motor paralysis on one side of the body. This may be accompanied by numbness or a pins-and-needles sensation. The neurological symptoms usually leave when the headache appears. With hemiplegic migraine, there is often a familial occurrence. In about 50% of these families, a chromosome defect may be found on chromosome 19 or on chromosome 1 and involves abnormal calcium channels. A physician should be consulted for this type of headache. You should not take triptans if you have this type of headache.

11. Arch Neurol Abstract Expanding The Phenotypic Spectrum Of The
of 5 Families With Familial hemiplegic migraine E. E. Kors, MD ; J. Haan, PhD ; N. J. Giffin, MD ; L. Pazdera, MD ; C. Schnittger......A
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12. Headaches Types | Migraine
hemiplegic migraine If you suffer from this rare but severe type of migraine The hemiplegic migraine often begins with temporary motor paralysis and/or
http://www.headaches.org/consumer/educationalmodules/completeguide/migraine2.htm
Headache MIGRAINE
Symptoms
There are several types of migraine, all share basic features, and each person will suffer this headache in a unique way. Generally, however, migraine often begins as a dull ache and then develops into a constant, throbbing and pulsating pain that you may feel at the temples, as well as the front or back of one side of the head. The pain is usually accompanied by nausea and vomiting, and sensitivity to light and noise. The two most prevalent types of migraine are migraine with aura (formerly referred to as classic migraine) and migraine without aura (formerly referred to as common migraine).
Migraine without Aura
As we have said, migraine is a vascular headache, which means the headache is associated with changes in the size of the arteries inside and around the skull. During the pre-headache phase, blood vessels constrict; when vascular dilation occurs, the migraine begins. The blood vessels are thought to become inflamed as well as swollen, and it is believed that migraine pain is caused by this inflammation, as well as by the pressure on the swollen walls of the blood vessels. Most migraine sufferers experience two to four headaches per month; but, some people can get one every few days, and others may only have one or two a year. Most migraine headaches last at least four hours, although very severe ones can last up to a week. Headaches may begin at any time of the day or night; and while a sufferer may wake up with one, a migraine will rarely awaken a person from sleep.

13. Arch Neurol Abstract Phenotypes Of Spinocerebellar Ataxia Type
Phenotypes of Spinocerebellar Ataxia Type 6 and Familial hemiplegic migraine Caused by a Unique CACNA1A Missense Mutation in Patients From a
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14. GeneReviews: Familial Hemiplegic Migraine
Your browser does not support HTML frames so you must view Familial HemiplegicMigraine in a slightly less readable form. Please follow this link to do so.
http://www.geneclinics.org/profiles/fhm/
Your browser does not support HTML frames so you must view Familial Hemiplegic Migraine in a slightly less readable form. Please follow this link to do so.

15. A New CACNA1A Gene Mutation In Acetazolamide-responsive Familial
A new CACNA1A gene mutation in acetazolamideresponsive familial hemiplegic migraine and ataxia S. Battistini, MD, PhD , S. Stenirri, PhD
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16. NEJM -- The Clinical Spectrum Of Familial Hemiplegic Migraine Associated With Mu
Original Article from The New England Journal of Medicine The Clinical Spectrumof Familial hemiplegic migraine Associated with Mutations in a Neuronal
http://content.nejm.org/cgi/content/abstract/345/1/17
HOME SEARCH CURRENT ISSUE PAST ISSUES ... HELP Please sign in for full text and personal services Previous Volume 345:17-24 July 5, 2001 Number 1 Next The Clinical Spectrum of Familial Hemiplegic Migraine Associated with Mutations in a Neuronal Calcium Channel
Anne Ducros, M.D., Ph.D., Christian Denier, M.D., Anne Joutel, M.D., Ph.D., Michaelle Cecillon, Christelle Lescoat, Katayoun Vahedi, M.D., Francoise Darcel, M.D., Eric Vicaut, M.D., Ph.D., Marie-Germaine Bousser, M.D., and Elisabeth Tournier-Lasserve, M.D.
Full Text
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Editorial
by Hoffman, E. P. ... PubMed Citation
ABSTRACT Background Familial hemiplegic migraine, an autosomal dominant disorder characterized by attacks of transient hemiparesis followed by a migraine headache, is divided into pure familial hemiplegic migraine (affecting 80 percent of families) and familial hemiplegic migraine with permanent cerebellar signs (affecting 20 percent of families). Mutations in which encodes a neuronal calcium channel, are present in 50 percent of families with hemiplegic migraine, including all those with cerebellar signs. We studied the various clinical manifestations associated with mutations in in 28 families with hemiplegic migraine with and without cerebellar signs.

17. News - TopAbstracts In Migraine 07/07/2005
Hemeplegic Migraine with Leptomeningeal Angiomatosis. Subacute Glaucoma Masquerading as Migraine. Familial hemiplegic migraine Cases archive
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18. NEJM -- Sign In
Editorial from The New England Journal of Medicine hemiplegic migraine Downstream of a SingleBase Change.
http://content.nejm.org/cgi/content/full/345/1/57

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19. Significant Linkage To Migraine With Aura On Chromosome 11q24
Migraine with aura (MA) is a prevalent neurological condition with strong evidence for a genetic basis. Familial hemiplegic migraine, a rare
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20. Hemiplegic Migraine - General Practice Notebook
hemiplegic migraine is a term used to describe the migraine syndrome that isassociated with a weakness or sensory loss of the limbs on one side of the body
http://www.gpnotebook.co.uk/cache/1154482184.htm
hemiplegic migraine Hemiplegic migraine is a term used to describe the migraine syndrome that is associated with a weakness or sensory loss of the limbs on one side of the body. The headache usually precedes the weakness by a day or more. The limbs gradually return to normal over several days. Often there is a family history of this type of migraine, usually with an autosomal dominant inheritance. It is always necessary to exclude another possible underlying cause for the hemiplegia such as an angioma. It is a rare form of migraine.
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