Migraine aura masquerading as Balint’s syndrome
- Division of Neurology, Department of Medicine, Government Medical College and Associated SMHS Hospital, Srinagar, Kashmir, J and K 190001, India
- Dr Parvaiz A Shah, Firdousabad, Batmaloo, Srinager, Kashmir, J and K 190001, India. Telephone 0091 194 452379.
Migraine is a common neurological disorder with a prevalence of 0.5% to 2% in the general population.1 In one fourth of total migraineurs, headache is preceded by an aura.2 We describe a patient with recurrent episodes of migraine in whom headache was preceded by a constellation of visual symptomatology which constituted salient components of Balint’s syndrome. This syndrome, consisting of a triad of simultagnosia, optic ataxia, and oculomotor apraxia, is seen with bilateral lesions of occipitoparietal cortices affecting connections between visual cortical regions and the frontal eye field.3
A 29 year old female teacher presented with an 8 year history of paroxysmal alternating hemicranial and throbbing headache which was often associated with nausea and photophobia. Patients fulfilled the requisite criteria for establishing the diagnosis of migraine with aura as devised by the International Headache Society (1988).4She used to have six to eight episodes of headache a month. There was no history …