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Is Migraine with Unilateral Motor Symptoms (MUMS) a diagnostic entity worth considering in patients with migraine and other associated symptoms?

Is it a migraine phenomenon similar but distinct from either migraine with aura or hemiplegic migraine? Or should it be considered a functional neurologic disorder? Young et al., PMID 17056632
2 Answers
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Mednet MemberInvited Expert
Neurology · UPMC
Answered on

I do not think so. It is not a part of the ICHD-3 criteria. If a patient with migraine disorder presents with weakness, it is possible that the weakness/motor symptoms are symptoms of migraine disorder. There is a diagnostic classification for such a patient already in the ICHD-3 criteria, which wou...

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Mednet Member
Mednet MemberInvited Expert
Neurology · University of Colorado Anschutz Medical Campus
Answered on

I think it is definitely worth considering. In my experience, the unilateral motor symptoms (especially weakness) do occur in relationship with migraine attacks with a frequency that far exceeds true hemiplegic migraine (HM). Often with a very long duration, often not meeting criteria for HM, and mo...

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