Doctor insights on:
Medicine For Hemiplegic Migraine
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
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
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
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
Hemiplegic migraine. I have had one serious attack that left me with symptoms for about 2 months. Will I have another attack?
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
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
How would someone tell the difference between a hemiplegic migraine and a tia? Don't both of them have similar symptoms that go away after a while?
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
Yes: It is not normal but common. But not a worrisome sign. ...Read more
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?
What's 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
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
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?
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?
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
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 a mri. ...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
Is Adderall (dextroamphetamine and racemic amphetamine) dangerous w/ lifelong neuro diagnosed severe hemiplegic migraine? (MRIs normal) Vasoconstrictor/dilation issue? Though Adderall (dextroamphetamine and racemic amphetamine) calms me?
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
Help! Hemiplegic Migraine last night & head still pounding today. Can I take Excederine Migraine at 9 weeks pregnant? Tylenol doesn't work!
@ times need to go to ER for hemiplegic migraines but docs there assume im a drug seeker bc they've "never heard of this type of migraine"-what to do?
Ask for IV magnesium: Bring to er a printout from wikipedia and ask for intravenous infusion of 1 gram of magnesium sulfate, which can help and will allay fears that you want drugs. If magnesium doesn't help, and you are in pain ask for IV toradol. Despite conventional wisdom, triptans, such as Imitrex or sumatriptan can be tried for hemiplegic migraines if other drugs are ineffective. For prevention verapamil can help. ...Read more
I had a severe migraine recently (possibly hemiplegic) and have had many short waves of dizziness, nausea and confusion in the week since. Any ideas?
QRISK 3 Score 50+male,have Migraine Aura no headache couple of Hemiplegics. CholesterolHDL Ratio 3.8 Systolic BP 125 Standard deviation 9 Height 175,68kg 10yr Risk 6.3 (4.9 aver)Heart age 57 would Betablockers help lower risk, or no concern?
Beta blocker: In my opinion there is no indication for your taking beta blockers according to your profile unless you require them for cardiac rhythm abnormalities or significant hypertension. Preventative measures would include daily low dose aspirin, avoidance of tobacco, taking omega 3 fish oil, regular exercise providing a treadmill stress test is normal, and maintaining a healthy BMI. Ask MD about a statin ...Read more
Can you get mild numbness feeling in your left side from a regular migraine or only hemiplegic ones?are antidepressants safe prevention for hemiplegic
Some comments: Focal unilateral numbness can represent a migraine aura, but your questions imply a need for further discussion and evaluation, especially in presence of Ehlers-Danlos, and the multiple ways of stopping migraines should also be considered. Schedule Concierge visit and we can go further. ...Read more
Brainstem symptoms: Both of these conditions are somewhat rare, and both have symptoms that can be caused by stroke. Therefore, anyone with basilar or hemiplegic migraine symptoms should seek emergency treatment until the cause is safely identified. Basilar migraine causes symmetric symptoms, including vertigo/dizziness and fainting. Hemiplegic migraine usually runs in families and causes one-sided weakness. ...Read more
Hemiplegic migraines: Not a curable headache. It is uncommon migraine, but most debilitating one. The hemiplegic migraine usually presents with aura before the headache phase and the based treatment is a preventive medication called Topamax (topiramate). See orofacial pain or headache specialist for the definitive diagnosis and management and preventive treatment. ...Read more
Migraine management: Once a diagnosis of hemiplegic migraine has been made, effective management of migraine involves three specific strategies: 1) patient education, 2) nonpharmacological management, and 3) pharmacological (medical) management. See your GP for evaluation and professional migraine management. ...Read more