Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Recurrent Transient Hemiparesis in a Patient with a Giant Persisting Eustachian Valve and Patent Foramen Ovale: Atypical Hemiplegic Migraine or Paradoxical Cerebral Embolism?
Yuji KatoTakuya FukuokaTomohisa DemboHidetaka TakedaNorio Tanahashi
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JOURNAL OPEN ACCESS

2013 Volume 52 Issue 13 Pages 1523-1525

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Abstract
We encountered a patient with the overlapping disorders of migraine with aura, migraine-triggered seizures and recurrent transient hemiparesis caused by atypical hemiplegic migraines with motor weakness during headache attacks, but not during the aura period, or paradoxical cerebral embolism. The patient displayed a giant Eustachian valve and patent foramen ovale, through which a spontaneous right-to-left shunt was revealed on transesophageal echocardiography. We considered that the overlapping disorders in the present case were closely related to the spontaneous right-to-left shunt caused by the giant Eustachian valve.
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© 2013 by The Japanese Society of Internal Medicine
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