Case 12-2009 — A 46-Year-Old Man with Migraine, Aphasia, and Hemiparesis and Similarly Affected Family Members

Family Members

Steven D. Brass, M.D., M.P.H., Eric E. Smith, M.D., M.P.H., Joseph F. Arboleda-Velasquez, M.D., William A. Copen, M.D., and Matthew P. Frosch, M.D., Ph.D.

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

Presentation of Case

A 46-year-old man was seen in the neurology clinic because of hemiparesis, aphasia, and abnormalities on neuroimaging studies.

The patient had been well, except for migraine headaches, until 4 years earlier, when right-sided weakness, clumsiness, and slurred speech developed during a period of 24 hours. A neurologist at another hospital found dysarthria and right central facial weakness; decreased muscle tone in the right arm, with strength 4+/5; and normal muscle tone in the right leg, with strength 4+/5. Strength on the left side was normal, with slightly increased tone in the left arm and normal tone in the left leg. . . . next