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ATTN: Experts Migraines VS. MS
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TSalipot posted:
Been really struggling lately with many symptoms. In AZ, Was diagnosed as "probable MS" in 1999, seemed to go into remission in 2002 with very few flare ups or symptoms at all for years. Then last year I went through major Migraine Attacks that kept landing me in the ER. Now in Florida and with insurance unlike when I was AZ, I have been under the care of a neurologist. My symptoms mirror AZ but the migraines are new. Can Migraine Attacks cause the same needle, numbing, weakness, damages in the body as MS symptoms? On my MRI there were damaged areas but can they be the result of Migraine damage?
My symptoms over the years match everything I have studied on MS for Relapsing/Remitting and I actually think I am going into the 2nd progression now. My upper back has loss of sensation for 1-1/2 years now and hard for me to accept that it is from a migraine I had. I am losing confidence in my diagnosis although it would be great not to have MS, but I think I may not be receiving proper treatment but I don't want to offend my DR. Not sure what to do, so I am trying to substantiate what I am being told.
I know you cannot give me a diagnosis, but can this be permanent damage from migraine?
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hackwriter responded:
Our resident MS specialist, Dr. Lava, usually pops in on Fridays and might address your question then.

In the meantime, here is some info I've found:

A small 2004 study of patients with chronic migraines (and without an MS diagnosis) were found to have brain lesions and also suffered some of the symptoms you described. And we already know that a high percentage of MS patients have a history of migraine, so there seems to be a link but the connection hasn't really been proven yet. Here's the article about that study:

http://www.webmd.com/migraines-headaches/news/20040127/migraine-linked-to-brain-lesions

According to a doctor's comments below, migraine lesions are vascular, whereas MS lesions are a result of demyelination. An experienced eye will probably be able to discern the difference in shape, pattern and location. Read those doctor's comments below:


http://www.medhelp.org/posts/Neurology/migraines/show/672990

According to both sources, brain damage from migraines hasn't been shown to cause progressive disability, unlike MS. I hope our doctor experts can provide more up-to-date information on this topic.

Kim
 
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TSalipot replied to hackwriter's response:
Thanks so much Kim. The links were very interesting. I did find where on MD communities for Migraines people are struggling with migraine dx with paralysis. But seems like most of them the paralysis(numbing) is temporary. My upper back and right side of my face has had permanent decreased feeling since May 2011 that never improved and when symptoms of whatever I have worsen it's even a thicker needley numbing if that makes any sense. Maybe the problem is that I do not know how to explain the wierd feeling or lack of feeling sensations. I don't care what I have I just want to know that I am dx properly and getting proper treatment.
 
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Neil S Lava, MD responded:
Patients with migraines can have white matter changes on MRI but they usually don't appear in the same distribution as those of multiple sclerosis. Sometimes it is difficult to tell.
There is a higher incidence of migraines in patients with multiple sclerosis. It is rare for migraine headaches to cause permanent damage.
If there is question about the diagnosis of multiple sclerosis then a spinal tap can be performed. There is nothing wrong with getting a second opinion also.
And of course, if this is multiple sclerosis you should be treated with medication.
 
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TSalipot replied to Neil S Lava, MD's response:
Thanks Dr. Lava. I had my 2nd MRI this week and although I am still scheduled with my regular neuro. I am already scheduled to see one at the University of Miami Hospital. Your response is appreciated, now I know I am not over-reacting. My symptoms have been so bad this week, my boss had me take today off work paid so I could get some extra rest. As much as I would love my neuro to be right, the brain fog and all the other symptoms in these relapses seem much more. Besides the fact of the permanent loss of normal sensation in the right side of face and upper back for a year and a half. Thanks again for your time!


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