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Papers of the Week

2019 Feb

J Surg Case Rep



Postoperative hemiparesis following tonsillectomy.


Mughal Z, Charlton A, El-Sawy H, Bhatt C
J Surg Case Rep. 2019 Feb; 2019(2):rjy348.
PMID: 30788090.


We report a rare complication following a routine elective tonsillectomy. A 32-year-old woman woke up from general anaesthesia with left sided hemiparesis. She underwent extensive investigations, which were normal. At follow-up neurology clinic she was given a new diagnosis of hemiplegic migraine and commenced on treatment. This case draws attention to a rare cause of postoperative hemiparesis. Hemiplegic migraine is a differential diagnosis for postoperative motor deficit after exclusion of an acute neurological or metabolic event.