Acute migraine attacks are less common in children and adolescents than adults. In children and adolescents, migraine with aura is much less common than migraine without an aura.
A 16 year old male patient presented to our emergency department with a worsening headache, accompanied by nausea and diffi culty in speaking. On physical examination, the patient described a bouncing type headache in the left temporal area. The patient also had diplopia, dysarthric speech, diffi cult understanding and sensory defi cit in the right face, right arm and hand. Blood biochemistry, imaging studies and lumbar puncture showed no acute pathology. He responded positively i.v. medication. He was diagnosed with migraine with prolonged aura.
Keywords: Migraine with aura, stroke, adolescent