Migraine with atypical aura in the recovery room: a sometimes complicated diagnosis!

Antoine Pianezza, Romain Barthélémy, Vincent Minville, Frédérique Martin, Michel Faggianelli
Anesthesia and Analgesia 2008, 106 (6): 1844-6
Migraine is a frequent neurological pathology. However, the diagnosis can be difficult to establish, especially when it is accompanied with an atypical aura that can be confounded with a stroke. We describe a case of 38-yr-old patient who presented just after general anesthesia with a perioperative acute migraine with atypical aura which was wrongly treated as a serious cerebral stroke. The patient had not mentioned migraine in her history before the surgery. This lack of information led to unnecessary therapy.

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