familial hemiplegic migraine type 3 (FHM3)
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Genetics
- autosomal dominant
- associated with defects in SCN1A
Clinical manifestations
- severe subtype of migraine with aura & some degree of hemiparesis during the attacks
- variable features of nausea, vomiting, photophobia, & phonophobia
- age at onset ranges from 6 to 15 years
- occasionally associated with other neurologic symptoms, such as cerebellar ataxia or epileptic seizures
- a unique eye phenotype of elicited repetitive daily blindness has also been reported to be cosegregating with FHM3 in a single Swiss family