Complex migraine (migraine with neurologic changes)


Description

A migraine headache associated with neurologic symptoms. The neurologic symptoms can be blurring vision, double vision, facial weakness, arm or leg weakness, numbness, or confusion. Some authorities believe the symptoms come from a temporary narrowing of a blood vessel in the brain. These symptoms can be very scary and can be mistaken for a stroke. A patient with this disorder should seek immediate medical attention if they have new neurologic symptoms with their headache.

Symptoms

Headache associated with weakness, numbness, visual problems, poor coordination, difficulty speaking.

Tests

Common tests used for diagnosis and treatment

Workup:
A history and physical exam will be done. If this is the first episode the provider may do an extensive work-up to rule out other causes of the symptoms such as a brain CT scan or MRI.

Specialists:
Neurology, Pediatric Neurology

Treatment

Treatment of the migraine headache.
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