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Doctor insights on: Hemiplegic Migraine Treatment

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What is the treatment for hemiplegic migraine?

What is the treatment for hemiplegic migraine?

Prophylaxis: Unfortunately, the mainstay of abortive treatment (the triptans) carries a theoretical risk of stroke in patients with hemiplegic migraine. While some studies suggest they might be safe, few patients or doctors are willing to take the risk. If nsaids are not effective abortives for your headache, prophylactic treatment to prevent the headaches in the first place should be strongly considered. ...Read more

Dr. Dariush Saghafi
33 doctors shared insights

Hemiplegic Migraine (Definition)

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


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Have pnd i'm overeating and just not motivated to do anything. Also suffer from what is believed to be hemiplegic migraine. Help at my wits end?

PND?: Post-natal depression, post-nasal drip, paroxysmal nocturnal dyspnea, other? If you are depressed, and it sounds that way, would suggest that you consult with a psychiatrist asap. They are well trained to deal with this and can often help you feel better quickly, go now, . ...Read more

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Is there familial hemiplegic migraine?

Is there familial hemiplegic migraine?

Yes: 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 more

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How prevelanet are hemiplegic migraine?

How prevelanet are hemiplegic migraine?

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 more

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Hemiplegic migraine description and where it starts ?

Hemiplegic migraine description and where it starts ?

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

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What is the definition or description of: hemiplegic migraine?

What is the definition or description of: hemiplegic migraine?

Wikipedia: 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 fringes of medical knowledge. ...Read more

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How common is Familial hemiplegic migraine vs common migraine?

Genetics: there is usually a genetic component in all migraine variants; however, hemiplegic migraines are certainly less common than classic migraine; however, theoretically, more dangerous. ...Read more

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I have been diagnosed with hemiplegic migraine. Is this dangerous? Am I more likely to get a 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 (sumatriptan) and others, or ergotamine medications for 'complex' migraines. Migraine preventative meds should be considered and you should talk to your doctor about this. ...Read more

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How would someone tell the difference between a hemiplegic migraine and a tia? Dont both of them have similar symptoms that go away after awhile?

How would someone tell the difference between a hemiplegic migraine and a tia? Dont both of them have similar symptoms that go away after awhile?

Migaine hurts a lot: Tia typically does not cause pain, or only little. Migraine, on the other hand, often hurts quite a bit, as well as being a recurrent thing. Migraine may also have other symptoms such as sound and light sensitivities, and possibly nausea/vomitting while TIA often not having such symptoms. Being 21, i certainly hope you are not havin tia. Live well/healthy, mariea79. Consult doc. Good luck. ...Read more

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Is a migrainous infarction the same as a hemiplegic migraine? If not, what is the difference?

Is a migrainous infarction the same as a hemiplegic migraine? If not, what is the difference?

Not really: A migrainous infarction is a stroke with residual neurological deficits while a hemiplegic migraine is complicated migraine without any permanent damage to the brain. ...Read more

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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.

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 more

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I have IIH &a daily migraines. Have episodes of hemiplegic migraine which last maximum 2 months. Scans and tests negative for stroke. What causes this?

I have IIH &a daily migraines. Have episodes of hemiplegic migraine which last maximum 2 months. Scans and tests negative for stroke. What causes this?

IIH and HM: many times we don't have an answer for why IIH happens. Often we see IIH in women who have been using certain acne medications or who have gained weight rapidly, but the mechanism of this increased pressure is unknown. Hemiplegic migraines, on the other hand, are often due to a calcium channel mutation - there is a genetic tendency for this protein to let too much calcium in and cause migraine ...Read more

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Hi I've suffered with hemiplegic migraine for past 11yrs my dorta aged 8 is beginning show symptoms what should I do?

Hi I've suffered with hemiplegic migraine for past 11yrs my dorta aged 8 is beginning show symptoms what should I do?

Pediatric Neuro: A pediatric neurologist should be of some help. Please bring the info with you that shows that you have a positive familial hemiplegic migraine type i (cacna1a) dna test. If not then you should have it performed. It is available thru athena neurodiagnostics as a blood test. Good luck. ...Read more

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Hemiplegic migraine. I have had one serious attack that left me with symptoms for about 2 months. Will I have another attack?

Hemiplegic migraine. I have had one serious attack that left me with symptoms for about 2 months. Will I have another attack?

It is a possibility: Hemiplegic migraine by definition is a recurrent encephalopathy. Diagnosing and treatment of this type of migraine can be difficult. Ask your headache specialist about flunarizine or Topamax (topiramate) management. Take care. ...Read more

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I have been diagnosed with hemiplegic migraine. I am taking verapamil and q10 and would to know if vit B6 or B12 could be beneficial. Many thanks?

I have been diagnosed with hemiplegic migraine. I am taking verapamil and q10 and would to know if vit B6 or B12 could be beneficial. Many thanks?

Prob not: Vitamin b6 and B12 are not known to be effective for migraine prevention. Riboflavin has some evidence at 400mg per day. This is a b vitamin. However, it wasnt studied specifically in hemiplegic migraine. ...Read more

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After being diagnosed with hemiplegic migraine i still get yellow flashing in right eye, tv mobile fone noise can trigger this how can I stop this?

After being diagnosed with hemiplegic migraine i still get yellow flashing in right eye, tv mobile fone noise can trigger this how can I stop this?

Migraine Meds: Sounds like the visual aura from a migraine. Speak with your neurologist to make sure nothing is wrong with your vision first. If he/she thinks it migrainous, you can have your migraine meds adjusted to try to counter this. ...Read more

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I have familial hemiplegic migraine. I know it is dangerous to take contraceptive pills. I quited. What other safe methods? Implanon?Mirena? is ok?

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

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On topamax (topiramate) 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 ?

On topamax (topiramate) 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

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Hemiplegic migraine meds reduced left side symptoms back, now right eye pulling and mouth pulls why?

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

Dr. Bennett Machanic
1,475 doctors shared insights

Migraine Headaches (Definition)

Migraine headaches are a common condition that often include a headache with throbbing, pulsing pain, blurriness of vision, nausea, and sensitivity to light. They ...Read more


Dr. Dariush Saghafi
1,856 doctors shared insights

Migraine (Definition)

A type of headache that is associated with throbbing localized pain and usually causes light ...Read more