Recurrent Wernicke's Aphasia: Migraine and Not Stroke! |
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| Authors: | Nishant Kumar Mishra MBBS ; Andrea O Rossetti MD ; André Ménétrey MD ; Antonio Carota MD |
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| Institution: | From the Department of Neurology, University Hospital of Lausanne, CHUV, Lausanne, Switzerland;Hildebrand Clinic, Rehabilitation Center Brissago, CH-6614, Brissago, Switzerland. |
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| Abstract: | We report the clinical findings of a 40-year-old woman with recurrent migraine presenting with Wernicke's aphasia in accordance with the results of a standardized battery for language assessment (Boston Aphasia Diagnostic Examination). The patient had no evidence of parenchymal or vascular lesions on MRI and showed delta and theta slowing over the left posterior temporal leads on the EEG. Although the acute onset of a fluent aphasia suggested stroke as a likely etiology, the recurrence of aphasia as the initial symptom of migraine was related to cortical spreading depression and not to stroke. |
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| Keywords: | migraine Wernicke aphasia EEG |
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