hemiplegic migraine

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i have recently been diagnosed with hemiplegic migraines. as its such a rare condition alot of doctors dont know anything about it , or how to treat this debilitating condition. i am typing this because i hope that it may help someone out there who is going through this and the doctors dont seem to know what is going on with them.

my symptoms tend to start two days out from an attack. i usually get a nasty ache at the back of my head , its tends to be dull and very painful, a score of 7-8 is normal. my head will feel like a block of lead, and i become very tired and listless. i tend to do alot of sleeping as well. on the second day my balance starts to go and i stumble about and and i notice my speech gets slightly slirred.

the attack usually induces bells palsey to the lhs of my face, my left eye droops as does my mouth. i have swollowing difficulties and loose sensation down the lhs from face through all my limbs. i get paralysis on the lhs in my limbs. i usually cant pass urine so i have to be catheritised, and am nil by mouth. the attacks seem to get worse each time as well , the last time i was taken to hospital in a semi concious state . i usually start to come out of it typically 3 days after the attack and my left arm is the first to fully recover , while my balance and left leg can take 2-3 weeks to come right . that depends on the severity of the attack . i find that i never make a full recovery either , so i am left with short term memory loss and learning difficulties , and am on a soft food diet only. i can only work parttime now as well, my body doesnt like full time hours and i got very washed out. i find 4-5 hours is maximum for me per day any longer and i hit a wall and struggle to go on. the nurologist said that half my brain goes to sleep which causes this. its not curable and they can only try to prevent reoccurance or limit the effects.

ive tried propanalol and topomax , but they didnt help at all , so im currently on amitriptaline. the neurologist started a weekly dose 5 weeks ago after an attack beginning with 10mg and increasing it over 5 weeks to 50mg. i had an attack during this time and am now on 75mg.

with not much being known about these debilitating migraines im surprised that a nurologist or gp hasnt worked with patients who suffer these migraines and written something for the drs to read as a guide to diagnosis or help prevent them. if any doctor wants to do so them im willing to help with this , to aid anyone else who suffers this rare debilitating migraine.

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  • Posted

    I was diagnoised with with a Sproradic HM 2 months ago.  Since the incident, I am still recovering.  I'll make this short with specific things I've learned and am putting into practice.  My situation was brought on by a new bed that was too soft and initially caused neck and shoulder pain/impingement, followed by that day shopping in a very cold A/C store with the start of headache and then stepping outside to the sunny, very warm outdoors. Bam, it happened within an hour of these events coming together.

    What I learned; After 5 weeks I was still not right after seeing my new neurologist, so I suggested Physical Therapy.  I am working with a PT who specializes in migraines, vertigo, concussions.  He found my neck, head and eye mechanics were off for two reasons.  1) for the fall that occurred, 2) that my neck muscles were so tight and not functioning as they were protecting my head/injury, and as a result I continued to with regular migraines (from neck tension) for the 5-6 weeks after.  I am in PT for 10 weeks to stretch and strengthen my neck, chest, back and stomach muscles, regain my eye coordination by doing the PT's specific puzzles - like number searches on a checkerboard.  PT IS CRITICAL for the RECOVERY - just like for a stroke patient.  I'm learning how to reduce and override the migraine symptoms through meditation, not going to bed when I get dizzy, but focus on stationary object and 'RETRAIN" the brain and override the symptoms if I can.  I always listen to my body if this is not working, but if I head to bed, I do deep breathing which reduces the tension up the neck and into the head. This is working for me - not the first or second time, but after numerous tries as I am overriding the 'migraine brain'  from taking over.

    I'm taking a combination of B2, magnesuim, tumeric with black pepper, Tylenol, ibrophen.

    After meeting with an acupuncturist who works for the a leading, last resort migraine centers in the US, he observed my posture, for he said poor neck posture one of the leading causes for SHM.  I am no longer wearing running shoes which propel your posture forward on your balls of the feet, like high heel and am now wearing flat, but supportive with memory foam tennis shoes.  You are suppose to walk on the front heel of your foot, rather than the ball of your feet - which was giving me 'what i'll call chicken head', (what you may hear is called Text Neck) my posture mechanics were all wrong, just like what happened with sleeping on that too soft bed, then using poor posture.

    I have an erognomic chair and foot rest.  I have a supportive, level, but comfortable bed.  I had to work into this as my body was so screwed up that I had to make my bed comfortable, then supportive ( I have a Sleep Number bed), but in your case, maybe watch how much memory foam or cushion you have on your bed as that can stress the neck as it sits up on your pillow.

    Best wishes and I would need want this for anyone - it's been so challenging.

     

  • Posted

    I experience simular situation, but mine is always the right side above my ear. And mine sounds just what your describing. But been to the ER 5X everyone of them has treated me for stroke but when results come back my MRI is clear. Unknown diagnosis.....
  • Posted

    Hi you are right a lot of drs including specialists know little due probably only 0.04 of the general population is registered with the condition.  

    I experienced what this static means recently.  It appeared I suffered a stroke in July 16.  Rushed by helicopter to a major hospital- 5 days stay only to have the specialist say "migraine". ---- I thought hang on I am still paralysed down 1 side.  Transferred to my local hospital- my go said This is a HP migraine you are the second one I have seen in my 46 years of practice.  He sent me to a specialist he classed as world class.  He sought the images from the hospital as the report from the hospital specialist was missing a numberof points.  After viewing the images he confirmed severe hemiplegic migraine.

    My doctors have explained severe hemiplegic migraine attacks can create the same physical symptoms and outcomes as strokes.  The difference is the origin of the attack.  The other misunderstanding which You and others are experiencing is because it is labelled a migraine everyone expects it to END at a point in time.  Wouldn't't that be GREAT!

    You might like to consider a change of diet for while.  I have changed to a vegan diet for 6 weeks and I have noticed changes - less severe headaches my asthma reduced,  recent blood test major improvements

    bye

     

  • Posted

    HI everyone,

    I'm so sorry that we are all being challenged medically with Hemiplegic Migraines. I was diagnosed with migraines around the age of 14. I suffered with them pretty frequent, but was never given medication back then, to really help subside them. I'm in my mid 40's now and its gotten much worse.

    January 2015, I went into the ER with chest pains, dizziness, lightheaded, pain in my head, sweating and a episode of syncope. They performed a CT scan, but didn't see anything. They even sent in a neurologist that said, (it was all in my head). The doctor's wanted to do a cardiac workup to R/O heart attack and because I had a very reputable cardiologist, I asked them to transfer me to another hospital. At the other hospital I went through a cardiac work up, and was convinced that I needed a cardiac catherization. I was so out of it at the time and on the pain medication they gave me, I agreed. During the cardiac catherization, I explain to the cath-technician that I was having severe pain, and condescendingly he says, yes you have a catheter in your arm, I thought to myself, wow!! no-kidding. I expressed the stabbing pains I felt in my left leg after the cardiac cath was done. My cardiologist suggested I have a neurology consultation. The neurologist requested an MRI/MRA the results showed I had strokes ( and I found out I was extremely closterfobic). Since the strokes and recovery my migraines worsened. I was admitted back and forth in the hospital between 2015 and 2016 so many times I can't remember anymore. Last hospitalization being October 2016, my left or right arm would give out, my speech was slurred, my legs gave out, I had dizziness, blurred vision, severe pain on either side of my head, or the entire head, and the left side of my neck. The left side of my face went completely numb. Finally they said it was called, "complicated migraines", which is now called, "Hemiplegic migraines".

    I was put on Topamax and a slew of other medications. I feel debilitated, confused with memory loss, my head is always foggy and I'm always fatigue. I looked online to see if it was a support group for people who had strokes and Hemiplegic migraines. I'm so glad I found this thread. Like someone said, I thought I was alone.

    What can we do, to bring HM to awareness? We are being misdiagnosed, treated as if we are crazy, given injections and all kinds of medications, and we don't know the long-term side effects. Some of us are still disabled by this, can't work, drivers license being taken away. Going from doctor to doctor trying to find an answer. Who can and will help us. We must educate ourselves and the doctors.

    • Posted

      Glad I found this forum.  I am feeling incredibly alone, confused about my future and frightened.   Tuesday 28th February I was taken by ambulance to hospital with a suspected stroke. First i went very dizzy like the floor was moving about, my lions tingled then I  Lost all feeling down right side & I went into shock, panicked and shaking with cold. I was admitted to a special stroke unit at hospital. After a CT scan and Mri it turned out to be a possible paralysis 'hemiplegic migraine' . MRI showed up something else which needs further investigation but this episode wasnt a stroke or TIA (mini stroke) which is good news. I came home from hospital last wednesday night. The diagnosis was 'Hemiplegic Migraine' (HM) not stroke. CT & MRI scans showed up something which needed looking at by neurology. Couple of White spots on brain & calcification ????? Hubby has been trying to get appointments & refferals to speed up things. Tuesday 7th march, exactly 1 week & within half hr difference to last weeks 1st ever attack, i had another attack whilst trying to catch up with her friend for coffee. Before the coffee arrived mum went incredibly dizzy, tingly lips & right arm and leg became heavy & numb & I shook all over but no pain in head this time. Dad came to get her and took her home to see what happened. Local doc said nothing they could do about HM. Luckily it eased throught the day with only slight dizzyness and a pain in arm.  A small hint of a headache. Today, I had off and on heavy arm and leg down right side and a short time of dizzyness. I've heard from the private hospital & I have an appointment with the neurologist for mon  20th march so will get everything looked into then hopefully. Till then i guess I have to try to carry on as normal (!?) as instructed by the stroke consultant & deal with it if it happens again. Any one carrying on with a normal life, holidays, driving etc?? I am a mother of 3 children and a wife. Luckily I do not work. Due to the fact these attacks are unpredictable how can people function normally again, make plans for journeys, holidays etc? I am 1 frightened 45 tear old! 

    • Posted

      Hi Sadie,

      sounds like what happened to me last July. I woke up with what everyone thought was a stroke which it was but it turned out to be both a stroke and a HM.   I am still getting used to living within the confines of a 'what if'   Firstly once you have all your results, make sure you a prescribed an emergency tablet which you can wear around your neck.  If you feel an attack coming on you can quickly grab the medication or get someone to do it for you if you have a medical I'd on you as well.  This can halo you either stop the attack or at least enable you to get into a safer location. 

      The he last thing you need is to isolate yourself.  The other thing I have learnt is to seek a councillor or psychologist to help yourself manage the grief and other emotions.  The other thing I discovered is get a neurologist who specialises in migraines, as HM is rare and not all neurologists know a lot about it.

      I hope it helps.

      Tenter22

  • Posted

    Hi sanddancer,

    I know exactly what you are going through. When I was 3 I attempted a flip I saw on a cartoon and landed on my head. My neck was severely damaged with torn ligaments, and was terribly jammed. It was nearly broke. I was paralyzed for about 2 months and nobody thought I was going to be able to walk or be normal kid ever again. As my neck held so did my strength. The only thing I really delt with was neck pains until the 3rd grade. I started having chronic migraines. The same as yours. It starts out with me seeing white flashing dots and only half a person. Then I start to get dizzy and nauseous. Soon after I get numb on my entire left side slowly (it's very rare for me to get numb on my right side) then I start to slur my words and lose my train of thought. As soon as I knock out my migraine starts and I wake up once and a while to throw up and take more medicine. Considering I am only 13 my it's been really tough for me the past 5 years. I constantly get told by my class mates that I am such an Inspiration considering I never know when my migraines will hit or how often. Everyone thinks it's amazing how I balance my life, grade, and 4 sports I play but it's really hard. As the years go on the migraines get worse but I am powering through it.

    I hope your migraines ease as time goes on. Stay strong

  • Posted

    I was diagnosed with complex (hemiplegic) migraines about 14 months ago when they became more severe and I temporarily lost the use of the left hand side of my body landing me in the stroke ward. I then ended up in a continuing migraine cycle that lasted for about 4 months and was hell.

    After trying numerous drugs I have been managing to control the migraines with imipramine and have got them down to lasting no more than a day about every two months although I am left with numerous residual symptoms (numbness to the face and fingers one he left side of the body, tinnitus and reduced hearing, problems controlling my temperature etc) which although a pain, I can live with.

    I have noticed that although the migraines have been more controlled they have come on much quicker and noticed that my tingling had started to move to right hand side of my body (it is usually on the left) which is odd, the tinnitus is aldo much much worse and I can't hear over background noise.

    On Monday I had another "migraine" at work which differed in that this time I had some sort of a full body seizure (although I was conscious of sorts throughout). It lasted about 6 minutes or so and then left apart from my left arm which wouldn't stop shaking until the evening. I was rushed to A&E where the diagnosis was "we don't know what's wrong but it's not life threatening so good bye!" The Doctor then rang me in the way home as he had forgot to mention that I could not drive, have a bath on my own or cook unsupervised until I had seen a neurologist. I waiting for an appointment but am a bit lost as to what to do in the meantime. Has anyone else had this symptom and if so how did you deal with it? How soon after did you return to work (I'm a lawyer and really need to get back but don't want it happening again).

    Also does anyone wear a medical bracelet (I have been lucky that these attacks have come on either at home or at work but I travel between offices and to courts quite a lot so wondered if it would be a good idea to get one).

    Thanks for looking at this.

    • Posted

      Hi Helen

      I didn't want to read and not reply I think if wearing a medical bracelet makes you feel better do it also they help for emergency treatment as symptoms mimic strokes.

      My child carries her own care plan which means everyone knows what to do and how to help her with emergency contacts on them

  • Posted

    Hi, I have suffered with this for over 17 years and no one has told me what it is. I only found out through my own research.

    My left eye closes and the side of my face droops, it looks like I've had a stroke, my speech is slurred and my words come out wrong , I now know that these are symptoms of my Migraines.

    I used to teach IT, now I'm having to rely on predictive text to type this. 

    I have been sent to neurosurgeons who say it's only a migraine. However, I have Hemiplegic migraines which is altogether different, I have also never heard of anyone having one last on and off for over 15 days at a time, I sleep 75% of the month, I have no pain to speak of, I feel extremely ill, I  can't speak properly, my words gets jumbled up, they get slurred, I can't remember what to say, if I'm having a conversation I sit there with long blank pauses, I get very confused, I get lost when I'm out, can't be let out on my own any more, I'm even forgetting how to walk. Every day is getting worse. How do I know the difference between this and brain damage? 

    I wish someone would help me.

    I have not eaten a meal since before Christmas, I'm only awake long enough to eat biscuits. My husband who is 72 with COPD needs me, but has to look after me instead. 

    My GP has given me Topiramate but they are not working, 

    I have an appointment to see him again on the 9 February hopefully he will come up will some kind of help.

  • Posted

    I recently started suffering from hemiplegic migraine's. And from the research I have done any medication in the triptan Family should be avoided at all cost. If anything it's going to make your attacks worse and pick up in frequency. I know Imitrex will do the same thing. Right now I am on propranolol , And I use Excedrin for migraine. They mention Botox but from what I have read online these are not the ideal solution to hemiplegic migraine's. Because it's actually a chemical problem within the brain. But get yourself off of that medication your dr. put you wan. You need to seek out a headache specialist.

  • Posted

    I was also recently diagnosed with hemiplegic migraines as well.  Honestly, I believe I was misdiagnosed with "regular" migraines when I was 13.  I only received this diagnosis because I started falled and whacking my head and face and ending up in the ER.  So, they have become progressively worse over about 35 years now.  I know get completely paralyzed on my right side and also my head.  Yeah, nice.  I also have been known to not make a whole lot of sense and become confused.  At first they thought I was having TIA or strokes.  I'm thankful for a good Neuro that really listened to me.  I have just started Topomax.  I had another episode right after starting the Topomax and I haven't yet gotten to a therapeutic dose yet.  I haven't had any of the "bad" side effects that you read about from topomax, but I'm keeping a detailed journal to see.  It was either topomax or depakote and I wanted to try the topomax first.  I'm a single Mom and I'm on medical leave right now to figure this out.  I absolutely have to get back to work, so I have to find something that works, even if the side effects aren't optimal.  I feel for you and even though not much is known about this rare disorder, I'm glad I found this forum and others that are suffering too.  There really is hope in numbers.

    • Posted

      HI C41499, 

      It's scarry when people start saying Stoke to you -  My Husban has has Mirgans since little.   - We have progressed to having emergency appointment with a Neuro however my idea of emergancy must be different to others.  The appointment is in May - we have phoned but have been told that is the shortest waiting list - even offered to travle to different area but no joy.    Touch wood we have havn't had a hemiplegic mirgaine for a couple of weeks now, but he still dosn't have full feeling back in his finger tips and has been having mirgaines in the night, which means getting up work is difficult, and he is relaing on me to drive him in.  We are lucky with where he works now - they have adjsuted his duties so he works from the unit rather than out on the road like he should be.  They also will bring him home if he has an attack at work so that I'm not having to leave work (my work are ok but people were starting to make commets).   We don't have Children and I can begaining to imagin what its like to have migrain hit knowing you have someone to look after as well.   We do spend a lot of time with our Nice's and they have got use it.  One year we were at the air show and my husband has a migran attack and the youngest who had ear defenders put them on his ears and made sure everyone left him alone in the beach hut to sleep it off. Was really cute she sat on guard all day. They are really good with him.  Are your babies young or old enough now to understand?  Topomax might be an idea - I will look into this.  We are going to talk put on by The Mirgaine Action Turst in couple of weeks time in Milton Keynes to see if anyone can advise us who we can gain help from.  Its diffiult at the mo as he low and doesn't want to commit to doing anything at the mo just in case.  

      Please remember you are not alone 

  • Posted

    I've been diagnosed with HM since last year January and since then been given a lot of medication but nothing seems to work I get paralized one my left side too really need some help I am on nefadapine5mg now but it's not working as having these episodes more frequently now anyone who can give me information about London migrane institute or number that I can ring need a second opinion plz

    • Posted

      Hi Ruby,

      I get HM too and currently to treat it I have Flunarizine 10mg at night and Botox, which has been very successful.  I go to the National Neurlogical Hospital Queens Square and see Dr matharu, nationaly he is the expert to see.  If you want to go privately I can give you a phone number if you like, or you can get your

    • Posted

      Hi

      Yes I would like to have a number plz so I can contact them where about is this hospital

    • Posted

      Hi ruby , I'm so sorry to here this, I'm new to this thing as well, I'm going to try verapamil HCL ER 120 mg mixed with depakote 1500 mg the first opens the capellaries the second is a seratonin stabilizer and ANTI seizure medication, that's what they are trying here in the states.. I hope this helps.. feel better

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