Abstract

A 30-year old woman was admitted to the psychiatric department because of severe headache, right hemiparesis, aphasia, epileptic seizure, and fluctuating confusion. Headache lasts for couple of weeks and slowly regressed. Right hemiparesis, aphasia and fluctuating confusion was continued in spite of anti- migrainous medications. MRI and brain SPECT revealed suspicious focal ischemic lesion in right deep parietal lobe. There might be a profound overlap between the confusional migraine, basilar artry mi- graine, hemiplegic migraine, and migraine-related cerebral ischemia. Korean Journal of Headache 4(2):109-112, 2003