Episodic Unilateral Limb Pain and Migraine–A Case Report, Hitherto an Unnamed Entity!

Abstract

Background: Migraine limb pain is a very under-recognized manifestation of migraine in which episodic pain happens in the peripheral limbs. Despite its description for many years, only limited clinical details are known. Only case reports and case series with limb pain as a symptom of migraine are reported in the literature. In this case report, important features of episodic unilateral limb pain and it’s association with migraine has been discussed. Case presentation: Here the author (a neurologist) describes episodic limb pain from his own experience, which started in childhood and used to be episodic, unilateral and with changing sides. In view of various features mimicking migraine, classical manifestation of migraine in later life and a strong family history , episodic unilateral limb pain in childhood is likely a form of peripheral migraine. Conclusion: Unilateral episodic limb pain with various features mimicking migraine is a very important clinical entity. This case should help in understanding the clinical details of peripheral limb pain -a relatively under-diagnosed symptom of migraine