Doctor insights on:
Hemiplegic Migraine Stroke
I have been diagnosed with hemiplegic migraine. Is this dangerous? Am I more likely to get a stroke?
Yes: Migraines are associated with somewhat increased risk of stroke. You should do your best to minimize risk by not smoking and not taking birth control pills. Do not let a doctor prescribe triptan medications like Imitrex and others, or ergotamine medications for 'complex' migraines. Migraine preventative meds should be considered and you should talk to your doctor about this. ...Read moreSee 1 more doctor answer
This is a relatively rare migraine. However I am familiar, through family members, with this diagnosis. Since this is a relatively rare diagnosis, the internet will not be very helpful confirming this diagnosis. You will need a physician (neurologist) who has experience with the symptoms to provide you with a reasonable answer. Unfortunately, we're talking about the ...Read more
Rare: True hemiplegic migraines are rare, but they can run in families. There is genetic testing that can be done to see if you carry the genes that make you susceptible to this type of migraine. Talk to your doctor if you or your family members are experiencing this. ...Read moreSee 1 more doctor answer
Common enough: A tingling and numbness of the face and hand are very common during a migraine attack. True paralysis of the arm and leg are rare, but numbness and unstable gait and confusion are common. There is risk of true stroke for women on birth control pills who also have hemiplegic symptoms. There is controversy concerning use of triptans in migraine patients with hemiplegic symptoms. ...Read more
Whats the diff between hemiplegic migraine and a TIA? Docs have suspected both with me but none could agree which one it was...im confused now.
No difference: This is a distinction without a differnce. Both will leave no trace on imaging, so it is question of interpreation of the symptoms. At age 24 I would favor migraine. If you have a patent foramen ovale in your heart, I could be convinced to call it a TIA. it sounds like yoiu are in good hands. If everybody is thinking alike then nobody is thinking. Life is not black and white. ...Read moreSee 2 more doctor answers
I have familial hemiplegic migraine. I know it is dangerous to take contraceptive pills. I quited. What other safe methods? Implanon?Mirena? is ok?
Migraine & The Pill: Hemiplegic migraine or migraine with aura are contraindications to so-called combined contraception. That is - estrogen may make these conditions worse and lead to risk of stroke. Progestin-only contraception is deemed safe in the condition of hemiplegic migraine. Implanon is one option. Talk to your provider about other progestin-only options. ...Read more
Hemiplegic migraine meds reduced left side symptoms back, now right eye pulling and mouth pulls why?
Hemiplegic: The muscles around your eyes have balanced tension. Anything that upsets that balance, such as a stroke or hemiplegic migraine, may upset that balance. If your medication level is off, that may trigger the sensation of eye or mouth pulling. See your primary doc or a neurologist for a checkup to titrate your meds. ...Read more
On topamax was told i had hemiplegic migraine by one doc and other doc told i've had tia's i'm confused still weak left side pain right side of head ?
Prop migraines: Well both migraines and tia's (mini-strokes) can cause your weakness. If it's associated with migraines and given your age, i would guess it's likely from migraines but hard to be sure unless you have an MRI to rule out the mini-stroke. If this comes and goes with the migraine and you have a documented history of migraine, your neurologist may not need an mri. ...Read more
Hi I've suffered with hemiplegic migraine for past 11yrs my dorta aged 8 is beginning show symptoms what should I do?
She will get worse: We are seeing an epidemic of childhood migraine. It is highly genetic, especially the hemiplegic form, with dominant inheritance. She is at risk for worsening as she matures and enters puberty. Ibuprofen is best for her at this age, but as she gets older, Aspirin would be better. There is no cure, but there is good management. ...Read moreSee 2 more doctor answers
Hemiplegic migraine. I have had one serious attack that left me with symptoms for about 2 months. Will I have another attack?
A head pain which is usually recurrent, and often in variable locations and severity, associated with few or all the following symptoms; fear of light, fear of sound, nausea, vomiting, bright or dark spots floating in front of eyes, tingling and numbness of one side of face or body. All ...Read more
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