{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T19:55:33Z","timestamp":1766087733384,"version":"3.44.0"},"reference-count":0,"publisher":"SMC Media","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Hemiplegic migraine (HM) is a rare type of migraine which presents with motor and sensory impairment like a cerebrovascular accident (CVA). We present a case of a 36-year-old female, with a prior CVA treated with alteplase, who presented to the emergency department with stroke-like symptoms with a duration of 1 hour. The NIH Stroke Scale score was 22 at presentation. The patient received alteplase under the supervision of a neurologist after head CT confirmed no bleed. Further work-up revealed no acute or remote ischaemia or infarction. This case demonstrates the importance of a thorough history, intercommunication between health systems and integrated Electronic Medical Records (EMR) for early diagnosis and management of HM.<\/jats:p>","DOI":"10.12890\/2020_001585","type":"journal-article","created":{"date-parts":[[2021,5,25]],"date-time":"2021-05-25T09:52:37Z","timestamp":1621936357000},"source":"Crossref","is-referenced-by-count":1,"title":["Not All Patients with Hemiplegia Need Alteplase: A Case of Hemiplegic Migraine"],"prefix":"10.12890","volume":"7","author":[{"given":"Sumeet","family":"Yadav","sequence":"additional","affiliation":[{"name":"St. Joseph Mercy Oakland Hospital, Pontiac, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Talukder","sequence":"additional","affiliation":[{"name":"Ross University School of Medicine, Bridgetown, Barbados"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacky","family":"Duong","sequence":"additional","affiliation":[{"name":"St. Joseph Mercy Oakland Hospital, Pontiac, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10397","published-online":{"date-parts":[[2020,4,2]]},"container-title":["European Journal of Case Reports in Internal Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/1585\/2027","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/1585\/2028","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/1585\/2028","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T14:02:08Z","timestamp":1756476128000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/view\/1585"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4,2]]},"references-count":0,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.12890\/2020_001585","relation":{"has-manifestation":[{"id-type":"other","id":"1-59-1585-g2027","asserted-by":"subject"},{"id-type":"other","id":"1-59-1585-g2028","asserted-by":"subject"}],"is-part-of":[{"id-type":"other","id":"1-59","asserted-by":"subject"}]},"ISSN":["2284-2594"],"issn-type":[{"type":"electronic","value":"2284-2594"}],"subject":[],"published":{"date-parts":[[2020,4,2]]},"article-number":"17"}}