Document details

Psychotic aura symptoms in familial hemiplegic migraine type 2 (ATP1A2)

Author(s): Barros, J. cv logo 1 ; Mendes, A. cv logo 2 ; Matos, I. cv logo 3 ; Pereira-Monteiro, J. cv logo 4

Date: 2012

Persistent ID: http://hdl.handle.net/10400.16/1032

Origin: Repositório Científico do Centro Hospitalar do Porto


Description
Abstract INTRODUCTION: Neuropsychological symptoms are rare in familial hemiplegic migraine (FHM). There are no reports of psychotic symptoms in FHM type 2 (ATP1A2). We examined a family with a FHM phenotype due to a M731T mutation in ATP1A2. A 10-year follow-up allowed us to observe complex auras, including psychotic symptoms in two siblings. CASE REPORT: Male, 48 years old, with an aura that included complex illusions with a feeling of time travelling, coincident with other aura features. The aura was regarded as mystical by the patient. Female, 38 years old, with a complex migraine aura, during which she believed she had the ability to time travel and was being followed by lobbyists who wanted to steal this ability from her. DISCUSSION: FHM type 2 must be included in the list of differential diagnoses of acute psychosis in patients with a previous history of migraine aura.
Document Type Article
Language English
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