Diagnosis of familial hemiplegic migraine in an intubated pregnant patient with Glasgow coma score of 3

Abstract

Familial hemiplegic migraine (FHM) is a rare disease that manifests as hemiparesis and is characterized by attacks of marked motor aura, often accompanied by seizures, nystagmus, ataxia, and altered consciousness. Patients with a diagnosis of FHM may also have coma and subsequent respiratory failure requiring intubation. In this case report; FHM diagnosis process of the patient who was admitted to the reanimation intensive care unit after the cesarean section is described. In this process, the importance of detailed anamnesis obtained from the patient's relatives during the reanimation intensive care unit period in the diagnosis of FHM was emphasized, as the diagnostic imaging and laboratory tests performed on the patient were normal.