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Doctor insights on: Ocular Migraines And Ms

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Dr. Bennett Machanic
Board Certified, Neurology
46 years in practice
47M people helped
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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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Dr. Cindy Juster
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30 years in practice
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Dr. Bennett Machanic
1,643 doctors shared insights

Migraine (Definition)

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


Dr. Walter Husar
Board Certified, Neurology
27 years in practice
3M people helped
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Dr. Cindy Juster
Board Certified
30 years in practice
2M people helped
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Dr. Alan Jackson
Board Certified, Addiction Medicine
24 years in practice
2M people helped
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Dr. Robert Kent
Board Certified, Physical Medicine and Rehabilitation
6 years in practice
2M people helped
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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?

Yes: Mri is one of the diagnostic methods that will help diagnose ms with these lesions and will differentiate between migraines and ms. However, to truly rule out ms early on, you also need an MRI of the spine as well as lesions can appear there also, sometimes before the brain. Hope this helps! ...Read more

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Dr. Cindy Juster
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Dr. Dan Fisher
Board Certified, Internal Medicine
21 years in practice
78M people helped
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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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Dr. Bennett Machanic
Board Certified, Neurology
46 years in practice
47M people helped
6

6
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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Dr. Walter Husar
Board Certified, Neurology
27 years in practice
3M people helped
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7
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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Dr. Bennett Machanic
Board Certified, Neurology
46 years in practice
47M people helped
9

9
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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Dr. Robert Stachler
Board Certified, ENT and Head and Neck Surgery
25 years in practice
1M people helped
10

10
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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Dr. Cindy Juster
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