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Study of Rare Migraine Variants Not Defined in ICHD-3

V. Patel , Jayanti Gurumukhani1 , Dhruvkumar M. Patel2 , Lachhmi J. Gurumukhani3 , Mukundkumar V. Patel4 , Lakshmi Narasimhan R5 , Maitri M. Patel6

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International Journal of Neurology and Neurosurgery 11(1):p 36-43, January-March 2019. | DOI: DOI: http://dx.doi.org/10.21088/ijnns.0975.0223.11119.6

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Abstract

 Migraine variants are atypical presentations of migraine in form of associated clinical features with or without headache in episodic pattern. These disorders are difficult to diagnose and require out of the box thinking and high index of suspicion. None of the cases described in this article are classified in ICHD-3 (international classification of headache disorders 3) and, in that way, are unique migraine variant cases. First two clinical cases are unexplained vertigo; the third case is of undetermined neurocardiogenic syncope and fourth case is dual variant of Alice in Wonderland Syndrome with abdominal migraine. All four cases are not associated with headache and suspected due to past or family history of migraine. Fifth case is of migrainous headache in which headache and the upper motor neuron facial palsy occur on the same side. This is a unique brainstem aura migraine variant. None of the cases described in this article are classified in ICHD-3 (international classification of headache disorders 3) and, in that way, are unique migraine variant cases. Migraine variant should be suspected in episodic neurological disorder of unexplained aetiology with normal neurological examination and undetermined investigations.

Keywords: Migraine Variants; Atypical Migraine; Vertigo; Syncope; ICHD-3

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DOI: DOI: http://dx.doi.org/10.21088/ijnns.0975.0223.11119.6

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