1 doctor weighed in:

Cardiologist hypophysised may have a PFO as have a lot of Migraine Aura. I have had 4 previous ECHOs but no PFO seen.I have not had bubble test as cardiologist said no to Cardio investigation but being refered to Neurologist or Migraine specialist?

1 doctor weighed in

In brief: Possible or probable

It's common to miss a PFO on a routine echo.
A 2D echo with bubble study, or even more specifically for Migraine with aura or warning of stroke/TIA, a digital TCD with bubble study gives a much more definitive answer as to the presence or absence of a PFO. If concerned about a TIA, hypercoagulable studies should also be performed to assure no propensity for clotting. Agree with Neurological workup

In brief: Possible or probable

It's common to miss a PFO on a routine echo.
A 2D echo with bubble study, or even more specifically for Migraine with aura or warning of stroke/TIA, a digital TCD with bubble study gives a much more definitive answer as to the presence or absence of a PFO. If concerned about a TIA, hypercoagulable studies should also be performed to assure no propensity for clotting. Agree with Neurological workup
Dr. Mahan Chehrenama
Dr. Mahan Chehrenama
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