Hemiplegic migraine, intractable
ICD-10 G43.41 is a billable code used to indicate a diagnosis of hemiplegic migraine, intractable.
Hemiplegic migraine is a rare and severe form of migraine characterized by temporary paralysis or weakness on one side of the body, known as hemiplegia. This condition can be particularly debilitating, as it mimics stroke-like symptoms. Intractable hemiplegic migraine refers to episodes that are resistant to standard treatments, leading to significant impairment in daily functioning. Patients may experience aura symptoms, including visual disturbances, sensory changes, and motor weakness, preceding the headache phase. The headache itself is often unilateral and can be accompanied by nausea, vomiting, and sensitivity to light and sound. Triggers for hemiplegic migraines can include stress, hormonal changes, certain foods, and environmental factors. Preventive treatments may involve medications such as beta-blockers, anticonvulsants, or newer therapies like CGRP inhibitors, tailored to the individual’s response and tolerance. Accurate diagnosis and management are crucial, as the condition can lead to long-term neurological complications if not properly addressed.
Detailed neurological examination findings, history of migraine episodes, and treatment response.
Patients presenting with unilateral weakness and headache, requiring differentiation from stroke.
Documentation must clearly outline the intractable nature of the migraines and any neurological deficits.
Records of pain management strategies, medication trials, and patient response.
Patients with chronic migraine requiring multidisciplinary approaches to pain relief.
Focus on the impact of migraines on quality of life and functional status.
Used for follow-up visits for management of hemiplegic migraines.
Document history of present illness, review of systems, and treatment response.
Neurology practices may require additional neurological assessments.
Hemiplegic migraine is characterized by temporary paralysis or weakness on one side of the body, which is not seen in other migraine types. It also has specific genetic components and may require different treatment approaches.
