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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
1,802 doctors shared insights

Migraine (Definition)

A migraine is a type of headache that is associated with throbbing localized pain. It also usually causes light sensitivity, nausea, and vomiting. Migraines can ...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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