Migraine symptoms can also mimic the symptoms of other conditions. Those two challenges put together are the perfect recipe for misdiagnosis. While many doctors may have good intentions when they investigate your symptoms and offer their diagnosis, the fact remains that mistakes are made — in fact, one study found only one in 20 get the correct headache or migraine diagnosis. As neurologist R. These conditions have similar symptoms, so you or your doctor may believe they are the cause rather than migraine. But migraine is a serious chronic illness in its own right, and should be considered a possibility when the symptoms fit.
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Ondansetron can be used for nausea associated with hemiplegic migraine. Intranasal ketamine has been shown to decrease the severity and duration of visual disturbances associated with hemiplegic migraine. The FDA has mandated that package labelling for ergotamines DHE and triptans Imitrex state a contraindication for use in basilar and hemiplegic migraine.
This is due to their vasoconstrictive properties, which may lead to vessel spasm and concerns about precipitating a stroke. A small study conducted by Mathew et al. Although the small sample sizes generated theoretical statistical event rates of 4. This study raises the possibility of utilizing triptans and DHE in the future for hemiplegic migraine treatment. More studies are needed to confirm the safety of these agents for the treatment of this condition. Prevention Hemiplegic migraines can be debilitating.
If these headaches occur often, it may be necessary to take daily prophylactic medication. There are no randomized controlled trials for hemiplegic migraine prevention, but there are some case reports available. The following drugs have the best evidence for hemiplegic migraine prevention at the current time: Verapamil Verapamil has been studied in a limited number of patients for the treatment and prevention of hemiplegic migraine.
Four patients with sporadic hemiplegic migraine were given verapamil mg one to three times daily. The attacks resolved within two months in two of the patients. The verapamil had to be discontinued in this patient due to side effects, and the headaches slowly returned to baseline frequency. It is important to note that other studies have found little to no benefit of verapamil for hemiplegic migraine treatment. It is a calcium channel blocker and was originally used to improve blood flow.
It is marketed as the brand name Sibelium.
What it’s Like to Live with Hemiplegic Migraine
Ondansetron can be used for nausea associated with hemiplegic migraine. Intranasal ketamine has been shown to decrease the severity and duration of visual disturbances associated with hemiplegic migraine. The FDA has mandated that package labelling for ergotamines DHE and triptans Imitrex state a contraindication for use in basilar and hemiplegic migraine. This is due to their vasoconstrictive properties, which may lead to vessel spasm and concerns about precipitating a stroke.
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