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

    Hi i have also been diagnosed with hemoplegic migraine and suffer the exact same symptoms as yourself and have attacks every week. Its exactly like ive had a stroke and have been hospitalized numerous times, i use to be on amitryptaline full wack but i was zombie-fied, no life just exsisting, my nuro put me on pregabalin which is hard to take at 1st but the benefits are alot better, out of my attacks in the few days before the next attack comes i have a brief window of a life not a normal life but i have other physical injuries (spinal) but like i say im me on the good days not a zombie that just lays/sits suffers, i can speak with friends and now family visits as id stopped all visitors at my worst point. I still suffer but i have glimmers of life, you should ask your neuro about pregabalin medication, wont stop the attacks but inbetween youll feel more human. Been on pregabalin for iver 10 years and still on a low dose so your not having to up your meds to continue to get the benefits which is a bonus. Hope this info is useful to you.

    Kindest regards

    Fellow sufferer

  • Posted

    I'm jealous of the people that have been diagnosed because my consultant isn't diagnosing me correctly in my very humble opinion.I am certain I have hemiplegic migraine and abdominal migraine also. They were both new experiences from my usual migraines. The stroke symptoms I had really scared me. The consultant I saw is saying I don't have this based on one variable, which is that my symptoms don't go away immediately e.g. as soon as the pain stops or last a day or days etc. I have two problems with this decision.

    First of all I have had aura symptoms up to 4 days before the pain in the head, neck, jaw, arm, abdomen (central section only) numbness, weakness, nausea, vision problems, inner ear changes, forgetfulness etc. I find exhaustion is often, but not always one of the first symptoms that really blindsides me. I've also noticed I am forgetting things much more often which is a bit worrying. Its really bad. So if symptoms can proceed other pain symptoms like mine do, then it doesn't mean a hemiplegic type migraine didn't take place.

    I found peer reviewed research from the US that states that symptoms can last days, weeks, months and longer, some permanent. It also said that permanent changes causing brain damage in the worst cases has been seen. It specifically says that hemiplegic migraine should not be discounted based on the fact that symptoms do not go away completely and or continue for prolonged periods of time. My case fits this 100% and after having loads of tests I am relieved it wasn't a stroke. However I have little faith in the lack of diagnosis. I'm having an MRI then I have to back to hospital to see the consultant again. My notes say I have no history of migraine when I do. I've had migraine since my wisdom teeth were removed in 1994 after my son was born. I also have them in relation to the PMS. Ive had bouts of PMDD (Pre Menstrual Dysphoric Disorder) also so hormones may play a part for some of my attacks at certain times of the month. I have had 7 attacks since the first one which was the 15 April and it's May 4 now.

    I'm having an MRI soon, then I see the consultant again. I'm going to mention that my medical history is incorrect and the information I found. I saved the article on my phone so I can show him. I'll do this politely and carefully as I know most Drs do not like it when we seek information, even when it's been explained that we looked at strong reputable sources and think we are getting above our station.

    I was given anti platelet meds and statins. I refuse to take any of them. I workout 3 days a week CV & RT Monday, Wednesday, Friday with 2 rest days on the weekend. Before it was CV 3 days and RT 3 days, with just 1 day rest. I'm getting better results already physically and find it more manageable. I added half a tiny cup of mixed nuts (walnuts, hazelnuts, almonds, Brasil - 2-3 only) with some dried fruit (7 bits) and 1 prune and 1 dried apricot. Its a tiny amount, but has really helped. So I workout after having eaten these. More sleep is imperative for me also. I aim to have 8 hrs sleep, but fall short often. I really need to get on top of that. I studied aromatherapy and make my own face,body and foot oil using coconut, hemp and avocado oil mixed with essential oils.

    My preference is ginger, lime and peppermint for my nausea. I have other oils for hormone balancing so I'm hoping that will help. I was given amitriptyline for breast pain a few years ago. I took one and couldn't breathe so I just want to steer clear from meds. I feel very positive that I can manage this, but only because I'm self employed and can do as few hours as I need.

    If I was in a 9-5 job I'd be sacked. This condition and working those hours is impossible for me to do. I am so grateful for that. However if I was unable to do those hours which I was fearing when I thought I was having a stroke, I would be doomed!!

    I can see myself having to go to a private specialist for a second opinion and correct diagnosis. My concern is that without a diagnosis if I get a more severe attack, no one checking my history will see this information recorded anywhere. If I get an attack in the street and I can't speak or explain myself because of confusion, which I've had very mildly, I'm very vulnerable. That worries me a bit.

    I'm just doing healthy in as many areas of my life as I can, hoping this will make be better able to deal with this and remain positive. Thank God for my two dogs because when I have a bad attack I feel kind of....not scared, but...I suppose its a mixture of dreadfully nauseated, weak, grim pain and vulnerability. Holding onto them really brings that feeling under control. When I have the abdominal migraine (very painful and weird) hugging them also helps. Even the way they smell is a comfort. I sometimes get an odd metallic taste in my mouth like during pregnancy, but that could be linked to my PMS/PMDD.

    The NHS doesn't seem up to date with the literature on this, so I can see myself having to save up to see a private migraine specialist.

    I really hope and pray everyone dealing with this debilitating and unpredictable condition, finds a way to cope and live a productive, happy life.

    • Posted

      Sending love, light and  hope to you all.

      Four years ago I experienced the devastating effect of a HM.

      Many specialists later, pretty much through research and trying lots of different things,  I found my way back to health and can once again function. When I first became ill I had all of the 'so familiar' symptoms that you all mention. It seemed that no matter what I did I could not make my body and brain function the way that it used to. I had always thought of  myself as intelligent and able to solve any problem. But for a solid year plus I could not get  my brain to cooperate. Decipher a calendar? remember a friends name? plan something? not possible.A while back I wrote about what I did to come back from those awful days. I will find them in the earlier posts and repost. It here.The only lingering effect I have now if occasional memory issues and I still get easily fatigued. Wishing you recovery. I hope this helps.

    • Posted

      Hi krisitn

      I am so glad you found your way back. I hope you can find the 'recipe' for re-gaining health and post it again, even halfway to being normal would do for me!

  • Posted

    Hi, I’ve recently been diagnosed too after having a bad attack while on holiday in Cornwall, spent 2 days in hospital, complete paralysis on left side, 2 x CT scans and MRI confirmed it was a hemiplegic migraine, doc started me on Amitriptaline 20mg, so far seems to be going ok, I’m just still partially paralysed 2 weeks 3 days after attack and really worried that this won’t go away, I work full time and have 2 boys 5 & 3 Years so this has really hit me hard, neurologist said it would go but it’s taking so long to get back to normal, is this usual for these types of migraine?  

    • Posted

      Hi Ashleigh, its aweful and even more so when it happens on holiday.  From personal experience, what has helped me so much is 1 Early physiotherapy, 2 Flunarizine 3 Botox injections and 4 reduce my stress levels.  My HM hasnt gone altogether, but comapred to how it was, its wonderful!  All these treatments are on the NHS, you just need to see a Neurolgist to get them.

      Good luck Ashleigh and let us know how you get on

      Best wishes, take care

  • Posted

    Hi

    I am currently waiting for an MRI appointment to come through thanks to a thunderclap headache in Feb I've had to have numerous tests and have had more and more debilitating symptoms since. Last Thursday I had numbness and tingling down one side of my face, the only reason i knew it wasn't stroke is because i could blow my cheeks out and lift both arms (although I had pins and needles in my right hand) My GP thinks its likely to be Hemiplegic Migraine, and I think my aunt has them too but I cant verify because we are estranged. I've been on amatriptalyne for years and it does nothing for this particular headache. I too get a heavy ache in my neck and back of head in the lead up to an attack but i don't always have pain after that it can just be the numbness and tingling (which is bad enough) do you also get muscle twitches elsewhere such as calf muscle and forearms?

  • Posted

    My GP actually suggested my symptoms could be a Hemiplegic migraine, so i am hopeful after an MRI to be treated as such,

    I had the initial thunderclap type onset back in February (after suffering with "normal" migraine for years) These are different in the fact light doesnt make me throw up, it just makes me aggressive. I had the worst onset on thursday last week in the middle of a math exam (Im at Uni at the age of 39 so its been stressful and Math is my least favourite subject because im just not good at it!)

    I started to get a numb face which has been the norm when stressed recently but then the pins and needles started and went all the way down into my right hand, I checked myself for stroke (blew my cheeks out and lifted both arms (i wasnt in the exam at that point) and put it down to stress but called to make my GP aware, she insisted I go and see her where she did all the neuro tests push hands away, resist being pushed away etc and tested my facial numbness (it was still very numb) initially (when the first headache happened they had thought aneurysm) but now she said it could be Hemiplegic migraine and is sending me for an MRI (ive been on neurologists waiting list since early may and not heard a thing) I just hope this settles down because I have a loooong three and a half years ahead of me and i really cant face being debilitated like this on a regular basis.

    I really hope you all get the help and find an effective treatment, ive been on Amitryptaline for years for the 'normal' migraine and it doesnt touch this one. even on a double dose.

  • Posted

    Sorry to post twice my other comment didnt appear until after i posted the second time ugh!

  • Posted

    what about pizetfen ??think thats how you spell it?

    i use migrane buddy and kept a years record worth if migrane recordings. emailed it to my self and printed it off , took it to the neroligist who was so excited aboht the data. i went from 0.5 mg if pizotefen to 1mg and as a result iv gone from 11 migranes a month to maybe 1 a month and now wear gray tints to help combate the world looking to bright.

    i can sleep for like 12 hours sometimes then be awake like 30 hours - if i dint sleep 10-12 hours i get migrains , as a result - i work one on one off one on so i can sleep after a day of work which helps me too

  • Posted

    hello

    i have found reading your posts so helpful thank you my heart goes out to you all you tend to feel very alone with this condition no one understands if they are not going through it!

    i was diagnosed with HM a year ago.

    previously i have had strokes and have paroxysmal atrial fibrillation

    i am currently taking topirimate 50 mg twice day i lost 2 stone in 2 months

    i get numbness in my face arm legs and have had some awful attacks which have lasted days with skin crawling

    i often get numbness in just my lower leg or face or upper arm its horrible and heavy

    This year i have been in hospital twice

    In July i was in for 5 days but felt they didn't fully understand me and now as i write this i am in hospital again this is my third day

    i can sense the neurologist frustration with me i don't conform to the one or few days today i was told your not progressing fast enough !! i can't help how my body recovers....

    i still have the numbness in my face arm leg and so tired i am walking a little but slowly

    i have just started a new job so am worried how my company will deal with this

    i have struggled with work have tried part time full time not working but i need to work financially

    i hope someone replies be so lovely to finally talk to someone who can understand

    thank you

    • Posted

      Hi Georgina,

      I have not been on this post in months, I am so glad it has helped you though. It is tough, no one seems to truly understand what it is like to go through, often when I tell people, they assume it is "just a migraine", it does get easier, i know that might sound crazy right now, with everything you are going through, but in time it will. I was at a stage of worry with work and financial stress, but i am now a University student and have just started my second year in nursing! i never thought it would be possible. with regards to your job or finding work, be honest with your employer and speak to their occupational health who may be able to assist you, have you looked into claiming PIP? i believe you can work, but still claim some benefits to help. i hope you make a speedy recovery in hospital. All the best 😃 x

    • Posted

      HI Sunnysky

      thank you for replying so positively.

      Good luck with your nursing that sounds wonderful and i hope all goes well

      it sounds like you had a tough time before though

      i am actually abroad living now so trying to work and support myself

      i will talk to them when i get back to work and see what they say

      thank you again

      GG X

  • Posted

    hello

    i have found reading your posts so helpful thank you my heart goes out to you all you tend to feel very alone with this condition no one understands if they are not going through it!

    i was diagnosed with HM a year ago.

    previously i have had strokes and have paroxysmal atrial fibrillation

    i am currently taking topirimate 50 mg twice day i lost 2 stone in 2 months

    i get numbness in my face arm legs and have had some awful attacks which have lasted days with skin crawling

    i often get numbness in just my lower leg or face or upper arm its horrible and heavy

    This year i have been in hospital twice

    In July i was in for 5 days but felt they didn't fully understand me and now as i write this i am in hospital again this is my third day

    i can sense the neurologist frustration with me i don't conform to the one or few days today i was told your not progressing fast enough !! i can't help how my body recovers....

    i still have the numbness in my face arm leg and so tired i am walking a little but slowly

    i have just started a new job so am worried how my company will deal with this

    i have struggled with work have tried part time full time not working but i need to work financially

    i hope someone replies be so lovely to finally talk to someone who can understand

    thank you

    • Posted

      Hi There

      My Daughter suffers terribly with HM. We thought things were improving when she got pregnant again but yesterday she had a very bad attack . Today she cannot move her legs and arms . We now know that it is definately linked to oestrogen levels , lack of sleep, and stress.

      She used to take Triptans but having taken her to the neuro hospital in London we were told that they were very dangerous if taken long term and they made her very confused anyway. Since then she decided to change her diet and go vegan which has helped lessen the attacks, Obviously having a baby has meant sleep depravation and having her own business is stressful. She does not go to hospital as there is no point. They have no cure and know very little. I think its a case of just trying different things. Keep a diary so you can work out what causes the attacks . Bright lights are a trigger too. I do so wish there was an easy solution but there isnt . I sincerely hope you find how to cope and send my sympathy.

    • Posted

      HI Karen

      Thank you for your message

      i am sorry to hear about your daughter and hope she recovers very soon from this serious episode.

      Thank you for your advice i do appreciate this.

      i do maintain a fairly healthy diet but theres always room for improvement

      i agree the hospital although so very kind to me and looked after me so well were very text book ! i wanted to scream i am an individual every one is different!

      They did however carry out the blood tests for the genetic testing which i had been waiting for in the UK So be interesting to see the results

      Yes i do need to keep a diary i need to stick with it

      i find with the meds i get very tired and my memory lapses/foggy now they want to add a new med which they said will cause tiredness ! how will this help when i am trying to work . i am a positive person so will come through it

      It just feels like every time i get back on track it happens again thats the problem sadly you just don't know when?

      Wishing you all well and my very best to your daughter GG

    • Posted

      Hi GG20

      Interesting that you are having blood tests for genetic testing . It has been suggested that my daughter has HM Familial as I too have suffered with this since I was 30 but it has always been assumed it was MS as MRI scans showed white plaques but a negative lumbar puncture. We were told that the tests were too expensive to do and of little benefit but of course as you say thats the UK. Of course 32 years ago HM was not recognised but now as technology has improved the MRI scans show large patches and the opinion is now that they seem to be cluster migraines , I have never been as bad as my daughter but it does explain many many symptoms I suffered from and still do but just not as bad. Still have weak legs and arms and suffer from optic neuritus . Everything else i put down to old age . My daughter is now trying CBD oil so will let you know how she gets on.

    • Posted

      HI Karen

      Apologies for the delay

      Thank you so much for your reply.

      i am sorry to hear about yourself and your daughter its such a draining condition sadly 😦 particularly the weakness its so hard isn't it some days to deal with!

      sometimes it starts to go then bang its back again

      i have to wait now for the blood results and see what they say.

      Yes i would love to know how she gets on please, its been suggested to me by a friend.

      i still take my topirimate and now they have added sibelium since last attack plus my anticoagualants and other bits!!

      please do stay in touch

      GG

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