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Doctor insights on: Ocular Migraines And Ms

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Had my first ocular migraine. Should I be worried about something worse like MS or tumor? Diagnosed ocular migraine at emergency room

Had my first ocular migraine. Should I be worried about something worse like MS or tumor? Diagnosed ocular migraine at emergency room

Worry is useless: If this was the only such event - you could let it be. If it's no a single thing - follow-up w/ a full exam. Read: http://www.mayoclinic.org/diseases-conditions/migraine-headache/expert-answers/ocular-migraine/FAQ-20058113 ERs may not have had a specialist at hand nor time for final Dx. Let's hope yours is simple and you're OK! ...Read more

Dr. Dariush Saghafi
1,857 doctors shared insights

Migraine (Definition)

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


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Is there a link between migraines and MS I have had migraines since age 10 and was recently told I have ms, I have noticed a large number of MS patients seem to also have or have had migraine histories.

Is there a link between migraines and MS I have had migraines since age 10 and was recently told I have ms, I have noticed a large number of MS patients seem to also have or have had migraine histories.

Yes, definitely: About 52% of ms patients suffer migraine headaches and there seems to be a general relationship, but, if there are lesions in the periaqueductal brainstem region, the headache incidence goes up four-fold. This is readily managed with appropriate migraine preventative measures, and your regular neurologist will manage this easily. ...Read more

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Can 1 migraine cause a spot on the brain that can be being confused for MS. Or does it take more than 1 migraine to create a spot and it might be MS?

Can 1 migraine cause a spot on the brain that can be being confused for MS. Or does it take more than 1 migraine to create a spot and it might be MS?

MRI: You seem to be putting the cart before the horse. Do you actually have neurological symptoms consistent with MS, or is there a question that one lesion would confirm a disease, which by description is "multiple". Also, is it clear that your "spot" is due to migraine or some other condition. Have a comprehensive conference with your physician and get this addressed. ...Read more

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Left vocal chord paralysis. Mri scattered pv & sc wm flair nonspecific. Atypical for ms. I am 55 no high BP or migraine. Is MS stil a possibility?

Left vocal chord paralysis. Mri scattered pv & sc wm flair nonspecific. Atypical for ms.  I am 55 no high BP or migraine. Is MS stil a possibility?

Unlikely.: Possible but unlikely. I would put money on local injury to the recurrent laryngeal nerve. Look in the upper chest and neck for a cause. ...Read more

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What is chronic microvascular ischemic disease, chronic migraine, and a disseminating process such as multiple sclerosis mean on MRI? Do I have MS?

What is chronic microvascular ischemic disease, chronic migraine, and a disseminating process such as multiple sclerosis mean on MRI? Do I have MS?

You're the patient..: ...not the MRI. Presumably you didn't just wander into an MRI facility & make an impulse purchase. The MRI was ordered by your doctor & for a reason. The radiologist isn't paid to diagnose YOU; (s)he just looks at studies & reports what (s)he sees. Go back to the ordering MD; diagnosing YOU is his/her job. Ask to see the MRI: in radiology, 1 picture is worth 1000 words. ...Read more

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Is there a way to tell from an MRI report if the locations of brain lesions/hyperintensities are indicative of migraine versus ms?

Is there a way to tell from an MRI report if the locations of brain lesions/hyperintensities are  indicative of migraine versus ms?

Distinction: It is hard to distinguish brain lesions due to migraine from those due to MS, especially by their location. With that in mind, MS often causes lesions around the ventricles, and migraine does not. MS often causes numerous lesions when it is not treated, migraine tends to cause a small number of small lesions. MS causes lesions that enhance with contrast (sometimes), migraine never causes these. ...Read more

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Saw neuro after visual disturbance, probable migraine. MRI to r/o mass, found 3mm hyperintensity ant. parietal subcortical. Ref'd to MS specialist?

Saw neuro after visual disturbance, probable migraine. MRI to r/o mass, found 3mm hyperintensity ant. parietal subcortical. Ref'd to MS specialist?

Depends: There are many lesions that appear on imaging as non-specific and can be seen in many lesions. There are exact criteria that are present which makes MRI useful in the diagnosis, discussing with another specialist might discern or eliminate this diagnosis. The finding on MRI is more consistent with migraine. ...Read more

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Shooting pains above temple, a little tender to touch, sometimes feels tingly and pressure like. Tight neck and shoulder muscles. My MS or migraine?

Shooting pains above temple, a little tender to touch, sometimes feels tingly and pressure like. Tight neck and shoulder muscles. My MS or migraine?

Migraine: You are describing a variety of migraine events, perhaps, ice pick headaches. Maybe triggered by neck or shoulder issues, such as thoracic outlet syndrome or cervical stenosis. However, if you do have MS, why are you not taking a disease modifying med for MS?? ...Read more

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Woke up 3days ago with weak/numb left side from my toe to my ear slowly getting worse doc thinks migraine. Scan for possible MS in 2wks. Related?

Woke up 3days ago with weak/numb left side from my toe to my ear slowly getting worse doc thinks migraine. Scan for possible MS in 2wks. Related?

One sided numbness: the scan is not unreasonable to work up any neurological problem. This could all be related to a migraine. In which case, the scan should be negative and you can try migraine med to control it and you will have piece of mind it is nothing serious. Good luck and feel better! ...Read more

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35 yr-old started with paresthesias 4 yrs ago, that generalized to include autonomic symptoms and gastroparesis, looking for effective treatment.....?

35 yr-old started with paresthesias 4 yrs ago, that generalized to include autonomic symptoms and gastroparesis, looking for effective treatment.....?

Neuro exam?: Interesting case, but I'd like to know about her neuro exam. By the history, her symptoms haven't progressed in a length-dependent manner (especially given the facial sensory involvement) and this points me toward a sensory neuronopathy aka sensory ganglionopathy. These patients would be expected to have proprioceptive impairment-- if she is still a dance instructor, I doubt her proprioception is impaired. If her neuro exam and nerve conduction study are truly normal, I suspect any additional testing will be normal as well. ...Read more

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I was diagnosis w MS periventcular & subcortial lesions, new neuro is saying MRI looks like migraines not ms, is there a difference between the lesions?

I was diagnosis w MS periventcular & subcortial lesions, new neuro is saying MRI looks like migraines not ms, is there a difference between the lesions?

Complex: Do you have confirmed diagnosis of MS, or is this a presumption based on nonspecific MRI findings? In MS, the MRI shows changes over time, and lesions are modified, often perpendicular to ventricle and ovoid in shape. Migraine lesions typically are posterior and scattered. ...Read more

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Do chronic migraines and headaches have anything to do with ms?

Do chronic migraines and headaches have anything to do with ms?

Unclear: Migraine and ms affect women in the same age group. Migraine clearly is a more common disorder, and can be associated with abnormalities on brain MRI (though these tend to be nonspecific findings) and even neurological symptoms in addition to pain. While migraine may affect people with ms , other clinical signs and diagnostic labs need to support the ms diagnosis, and no better explanation found. ...Read more

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I keep getting dots of different color lights (blue, green, red, regular light) in my vision. Could this be from my chronic migraines or MS? Both?

See eye specialist: Although could be due to migraine aura, might be a retinal or vitreous issue, and needs to be checked by ophthalmologist. Why is there question of MS? ...Read more

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How can u prevent the severe pain after receihving botox shots taken for MS migraines?

How can u prevent the severe pain after receihving botox shots taken for MS migraines?

Talk to injecting Dr: Let the Dr know and talk about how to plan for less pain. I've heard to avoid ibuprofen (can make bruising worse) and use Tylenol (acetaminophen) or try Arnica Montana - either oral or topical. But best is to call the Dr now! ...Read more