Is a complex migraine a stroke?

Although any head pain can be miserable, migraines are often disabling. With a “complex migraine” symptoms can include weakness, loss of vision, or difficulty speaking in addition to a headache – often mimicking a stroke.

Are complex migraines a neurological disorder?

The term complicated migraine refers to a permanent neurologic deficit whether it is visual, motor, or sensory in origin. In these patients, MRI may demonstrate the cerebral ischemic changes that typically occur in the occipital–parietal regions (Fig. 19–2).

Can complex migraines cause permanent damage?

Many of the patients I see with migraine are concerned that the migraine attacks or the disease is causing permanent damage. To the best of our understanding, that’s completely wrong. Migraine patients do not have to be worried about long-term brain damage. It simply doesn’t happen.

What’s the longest a migraine can last?

A regular migraine attack usually lasts between 4 and 72 hours. Treatments like triptan drugs and pain relievers can often relieve migraine pain and other symptoms. Status migraine symptoms last for longer than 72 hours, even with treatment. The headache might go away for a few hours, but it keeps coming back.

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What is a complex migraine?

However, the symptoms that are called “complex” are, in fact, well established as part of migraine with aura attacks. Headache specialists encourage people to recognize that what they are calling complex migraine is migraine with or without aura. Do I Need a Doctor To Give a Migraine Diagnosis?

What does complicated migraine mean on MRI?

The term complicated migraine refers to a permanent neurologic deficit whether it is visual, motor, or sensory in origin. In these patients, MRI may demonstrate the cerebral ischemic changes that typically occur in the occipital–parietal regions (Fig. 19–2 ).

What are the treatment options for complicated migraine?

We treat suspected complicated migraine with high-dose intravenous methylprednisolone and hydration. Triptan medications should be avoided because of their vasoconstrictive properties. Sublingual calcium channel blockers may help reduce vasospasm, but this beneficial effect must be weighed against their propensity to lower blood pressure.