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Doctor insights on: Medicine For Hemiplegic Migraine

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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

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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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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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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How common is Familial hemiplegic migraine vs common migraine?

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? Don't both of them have similar symptoms that go away after a while?

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

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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 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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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.

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

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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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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 wasn't 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 a 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

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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

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Help! Hemiplegic Migraine last night & head still pounding today. Can I take Excederine Migraine at 9 weeks pregnant? Tylenol doesn't work!

Help! Hemiplegic Migraine last night & head still pounding today. Can I take Excederine Migraine at 9 weeks pregnant? Tylenol doesn't work!

Call ob: It would be a good idea to call your ob to discuss this headache further. However, excedrin can be used safely in the first trimester. Make sure you are drinking plenty of water and eating small regular meals as well ...Read more

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@ 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?

@ 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

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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?

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?

ER -CT/MRI: Migraine can cause alot of your symptoms; however, confusion (change in your mental status) is a red flag! Go to your local er for evaluation and a head ct scan-asap, MRI may be needed. ...Read more

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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?

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

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Can you get mild numbness feeling in your left side from a regular migraine or only hemiplegic ones?are antidepressants safe prevention for hemiplegic

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

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How can I distinguish between hemiplegic or basilar migraines?

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

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How can I cure/prevent/soothe hemiplegic migraines?

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

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What's the best treatment for hemiplegic migraines?

What's the best treatment for hemiplegic migraines?

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

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What protien do these genes CACNA1A, ATP1A2, and SCN1A make your body unable to produce causing hemiplegic migraines? Supplementable?

What protien do these genes CACNA1A, ATP1A2, and SCN1A make your body unable to produce causing hemiplegic migraines? Supplementable?

Gene mutations: Found in families with autosomal dominant inheritance of Familial Hemiplegic Migraine impair production of proteins required to move ions, charged atoms, across membranes of neurons, nerve cells. Release & uptake of neurochemicals & signaling between neurons & other parts of the nervous system are impaired. Neurologists may use calcium channel blockers between bouts & triptans during bouts. ...Read more

Dr. Bennett Machanic
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Migraine Headaches (Definition)

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