Right-sided Weakness, Headache in a Young Girl

VIDEO: A 12 y/o girl reports 5 episodes (45 mins each) of headache, hemiplegia in the past 24 hours. Can you make the Dx?


A 12-year-old girl presents with 24-h history of 5 episodes of headache, right sided weakness w/ discomfort that lasted up to 45 minutes. Neurologic abnormalities resolved between episodes. Exam: 1/5 muscle strength in right arm/leg; unstable when standing with eyes closed. Denies tobacco, other drug use. HR, 80 bpm; BP, 120/65. She is otherwise well.


What diagnosis do you suspect?

A. Hemiplegic migraines
B. Stroke (CVA)
C. CNS mass
D. Moyamoya disease
E. Conversion disorder (diagnosis of exclusion)
Related Videos
"Vaccination is More of a Marathon than a Sprint"
Vaccines are for Kids, Booster Fatigue, and Other Obstacles to Adult Immunization
Related Content
© 2023 MJH Life Sciences

All rights reserved.