A 16-year-old male was brought with removal of clothes while watching movies complaints of seeing wave like forms and sudden monocular blindness. The diagnosis is
Migraine
Exhibitionism
Temporal lobe epilepsy
Grandmal epilepsy
(A) Migraine # BASILAR MIGRAINE: Symptoms referable to a disturbance in brainstem function, such as vertigo, dysarthria, or diplopia, occur as the only neurologic symptoms of the attack in about 25% of patients. Adramatic form of basilar migraine (Bicker-staffs migraine) occurs primarily in adolescent females.> Episodes begin with total blindness accompanied or followed by admixtures of vertigo, ataxia, dysarthria, tinnitus, and distal and perioral paresthesias. In about one-quarter of patients, a confusional state supervenes. The neurologic symptoms usually persist for 20 to 30 min and are generally followed by a throbbing occipital headache. This basilar migraine syndrome is now known also to occur in children and in adults over age 50. An altered sensorium may persist for as long as 5 days and may take the form of confusional states superficially resembling psychotic reactions. Full recovery after the episode is the rule.
Miscellaneous