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Doctor insights on: What Will Happen At A Neurologist Appointment For Migraines

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What will happen at a neurologist appointment for migraines?

What will happen at a neurologist appointment for migraines?

Info gathering: Usually a doctor will have you fill out initial paperwork, talk to you about your history in general, as well as the history of your migraines, then do an exam and make some recommendations for next steps. For migraines, you can help by keeping a headache log including timing & description of ha, as well as possibly triggers (foods, activities, stress, etc) good luck! ...Read more

Dr. Chirag Patel
1,287 doctors shared insights

Neurology (Definition)

Neurology is a field of study in which a person studies the brain, the spinal cord, the nerves, their functions, and their diseases. A doctor who specializes in brain, spinal cord, and nerve disorders ...Read more


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My GYN ordered tilt table for dizziness. Appointment with Neurologist for Migraine and possible IIH... Do I need the tilt table/is pt2 w/IV necessary?

My GYN ordered tilt table for dizziness. Appointment with Neurologist for Migraine and possible IIH... Do I need the tilt table/is pt2 w/IV necessary?

How bout slowin down: I am a neurologist and headache specialist and would highly recommend that your OB/GYN slow the train down a bit and have you consult FIRST with the neurologist and let them choose the tests. I think that someone thinks there's a lot going on when it could be simpler than that.maybe not...but it usually is...and to save you from unnecessary testing I'd let the consultatnt make the call. ...Read more

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It's going on day 3 of my migraine and my neurologist couldn't get me in. Any suggestions on what I should do?

It's going on day 3 of my migraine and my neurologist couldn't get me in. Any suggestions on what I should do?

If severe, go to ER: You should have medication to abort the migraine and ideally a "plan b" med for if the first fails. If you have exhausted your meds and/or if pain is severe or just won't give you relief, should go to er for medication--otherwise, better to avoid. ...Read more

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I have been struggling with migraine headaches and was told to see a neurologist but don't have any health insurance how much does one cost?

I have been struggling with migraine headaches and was told to see a neurologist but don't have any health insurance how much does one cost?

Neuro: This is very variable. Some will allow for payment plans, some require up. Front payments. Average consultation I would estimate $150-$200. ...Read more

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Neurologists message me I need solutions to a migraine headache on one side of the head?

Neurologists message me I need solutions to a migraine headache on one side of the head?

Depends: In a 20-year-old woman, migraine (status migrainosus) is the most common cause of prolonged unilateral headache, but if you're not someone who gets migraines, other diagnoses such as hemicrania continua should be considered. Feel free to give me a call if you'd like to talk, www.healthtap.com/drnathanielschuster ...Read more

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Is it recommended to see a neurologist for an ocular migraine?

Is it recommended to see a neurologist for an ocular migraine?

No: Your eye md and / or primary care physician should be able to diagnose and make recommendations on the best way to control. If there is atypical presentation or other symptoms, a consult with neurologist may be relevant. ...Read more

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IGet daily migraine headaches from a concussion. I am getting help by neurologists. Tried many things to help it, no help. What can I do for quick relief?

IGet daily migraine headaches from a concussion. I am getting help by neurologists. Tried many things to help it, no help. What can I do for quick relief?

Talk with your: Neurologist about your options. I treat migraine patients with acupuncture. However, I always desire to be in dialog with the patient's neurologist before treating. Scalp and auricular acupuncture can be particularly beneficial. ...Read more

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Pressure on top of head for 2 weeks. Started as migraine. No other pains or aches. Won't see neurologist until next month. What is it?

Pressure on top of head for 2 weeks. Started as migraine. No other pains or aches. Won't see neurologist until next month. What is it?

Keep a headache log: Your migraine doesn't appear to be under control. OTC remedies might include magnesium oxide, riboflavin, or butterbur. You should keep a log of the location, timing, duration, associated symptoms, and intensity of these episodes and take the log with you to a neurologist as soon as possible. http://www.migrainetrust.org/factsheet-supplements-and-herbs-for-migraine-the-evidence-10897 ...Read more

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My doctor has precribed a few migraine meds and basically said don't know what to do if these don't work, . Will neurologist know more.

My doctor has precribed a few migraine meds and basically said don't know what to do if these don't work, . Will neurologist know more.

Yes: If you do not get relief from the medications you have been given by your family doctor for headaches, then yes, you should see a neurologist for a second opinion and further evaluation. ...Read more

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Was advised by neurologist to take hydrocodone if Imitrex (sumatriptan) didn't work. Can that help w migraine pain? After 100 mg Imitrex (sumatriptan) how long till nxt pill?

Yes, it can, but...: Hydrocodones is a codeine/narcotic derivatives which can relieve any pain for several hours. If used too frequently in some people who are addictive-prone, that is major problem. Presuming neurologist worked up for causes of migraine, the treatment depends on the severity and the frequency. If they occur every month, rx should try a med to prevent them entirely. Max dose over 24 hrs = 100 mg more. ...Read more

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I get bad headaches sometimes like a migraine then I worry something is wrong with my vp shunt my neurologist doesn't even do check ups on it?

I get bad headaches sometimes like a migraine then I worry something is wrong with my vp shunt my neurologist doesn't even do check ups on it?

Headache specialist: Bad headache always represents a particular diagnostic challenge. See orofacial pain practitioner or a headache specialist for evaluation, diagnosis and proper abortive treatment. Take care. ...Read more

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I keep losing vision in one eye. Between 5 and 30 min. I don't get a migraine after. Opthamologist says my eyes are fine. Must I see a neurologist?

Be seen: You should be seen promptly. This could be a variety of things which need assessment. I would urge you to see a neurologist as soon as you can. ...Read more

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I have had a headache for over 5 months straight cat scan, mris come back normal. My neurologist says it is just a migraine. It isn't getting better.

I have had a headache for over 5 months straight cat scan, mris come back normal. My neurologist says it is just a migraine. It isn't getting better.

Constant Headache : One of the most common headaches is related to the use of caffeine, nsaids, which are associated with rebound headache. Make sure that the ct and MRI are truly normal and that the headache is not the worst of your life. ...Read more

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Cardiologist said,i may have small PFO due to Migraine Aura but not seen on Echo Q:Small PFO?Smaller than a cerebral artery?So if a clot goes through it you won't have a stroke?His reply in email "Ask Neurologist no cardio investigations are needed"

 Cardiologist said,i may have small PFO due to Migraine Aura but not seen on Echo Q:Small PFO?Smaller than a cerebral artery?So if a clot goes through it you won't have a stroke?His reply in email "Ask Neurologist no cardio investigations are needed"

This makes no sense: to me. How was diagnosis of PFO made if not by ECHO? Migraine Aura is not a sign of PFO. The PFO would have to be smaller than 8 microns (a single red blood cell) to say you would not have potential for a CVA. I don't see how a neurologist will be able to assist you in this question. Are you certain he said you have a PFO? Is this all just to decide if you will take ASA? ...Read more

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Headache for 1+ weeks symptoms of migraine, cluster, tension. Dr says may be a migraine variant referred to neurologist what is a migraine variant?

Headache for 1+ weeks symptoms of migraine, cluster, tension. Dr says may be a migraine variant referred to neurologist what is a migraine variant?

Variety of headaches: Migraine headaches can manifest in many ways. Variant simply means one version of headache. Your neurologist can tell you which one(s), e.g., muscular, vascular, tension, sinus, etc. Try to be patient if you are put through a lot of tests. That can rule out more serious things. You can also look into the impact of possible food sensitivities, lifestyle, and hormonal influences. ...Read more

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Can botox injections help people suffering from chronic migraines? Hello. I'm a female in my mid-twenties and have suffered from migraine headaches for as long as I can remember. I've been to several neurologist and undergone several test to determine the

Can botox injections help people suffering from chronic migraines? Hello. I'm a female in my mid-twenties and have suffered from migraine headaches for as long as I can remember. I've been to several neurologist and undergone several test to determine the

Yes, if you qualify: Botox has been fda approved for chronic migraine, and I have seen it work very well for a number of patients. That being said, the criteria for getting the treatment are quite stringent- I would follow up with a neurologist who offers the treatment to see if you meet those criteria and, if not, what other options are available to you. ...Read more

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I have had a migraine headache for the past two weeks. My neurologist has ordered a lumbar puncture. Why would he order it? How is it done?

I have had a migraine headache for the past two weeks. My neurologist has ordered a lumbar puncture.  Why would he order it? How is it done?

Analysis: Low yield on lumbar punctures, but he's looking to analyze your spinal fluid. 99% sure it will come back as normal. The analysis can indicate infection, cancer, other medical conditions. ...Read more

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I am being treated for migraine headaches with Topiramate. But I really think it is something wrong with my sinuses. My Neurologist said "if it was?

What clues?: What are the reasons for your theory? What is the neurologist's response? Note that it is common for migraine to be mistaken for sinus pain resulting in ineffective therapy. ...Read more

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Neurologist believes it was a tia, but ER doc and pcp believe that it was "migraine variant"... Who do I believe when 3 docs are not in agreement?

Neurologist believes it was a tia, but ER doc and pcp believe that it was "migraine variant"... Who do I believe when 3 docs are not in agreement?

All may be right: Complex migraine can produce a vascular spasm that can cause a transient ischemic attack (tia). Young women on bcps can have true stroke due to migraine. Aspirin is the best treatment. Ergots are high risk. Decision is still uncertain about use of triptans. ...Read more

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Had 3 month long migraine so neurologist sent me for MRA. It revealed severe sinusitis plus mild ischemic white matter changes. I'm 28. What is that?

Had 3 month long migraine so neurologist sent me for MRA. It revealed severe sinusitis plus mild ischemic white matter changes. I'm 28. What is that?

Migraine treatment: Once a diagnosis of migraine has been made, effective management of migraine involves three specific strategies: 1) patient education, 2) nonpharmacological management, and 3) pharmacological (medical) management. See an orofacial pain or headache specialist for evaluation and professional management. ...Read more

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Chronic migraine... neurologist prescribed valproic acid, proponolol, flunarizine... these med make me v v sleepy whole day... cant go to work.. can i just try flunarizine?

Chronic migraine... neurologist prescribed valproic acid, proponolol, flunarizine... these med make me v v sleepy whole day... cant go to work.. can i just try flunarizine?

Discuss with Doctor: We can not advice you to stop any drug prescribed by your doctor.I suggest you discuss your concern about being drowsy with your doctor.Actually Flunarizine is what causes drowsiness as well as Valproic Acid and propranolol.All these drugs are used as preventive meds to prevent migraine attacks
Discuss your concern with your doctor and follow his/her advice ...Read more

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Would a neurologist make referal for TCD Bubble test for testing for PFO in the UK ?I do have Migraine Aura 4 a mth ,but is the test specifically for Migraine aura WITH the Headache only?

Would a neurologist  make referal for TCD Bubble test for testing for PFO in the UK ?I do have Migraine Aura 4 a mth ,but is the test specifically for Migraine aura WITH the Headache only?

Probably not: The bubble test for Patent foramen ovale is a simple test that is benign. It only tests if there is a PFO, which does appear to be more common in people with Migraine and aura. However, studies have shown no improvement in Migraine after surgery to close the PFO, so most neurologists would not recommend getting the test. See, for example this recent:
https://www.ncbi.nlm.nih.gov/pubmed/26952049 ...Read more

Dr. Dariush Saghafi
1,882 doctors shared insights

Migraine (Definition)

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