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Differentiating complicated migraine from stroke. Opinions?
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Watarimono posted:
I have chronic / complicated migraines, and its always a worry or hard to tell if something is benign or not. Yesterday I had something that could very easily have been a stroke, but I ignored it. Maybe someone else has input.

It started with a typical migraine prodome kind of phase. I felt emotionally strange, extremely tired, yet oddly alert. As I said, its difficult for me to tell, reality tends to have a trippy air to it anyway. I was in a store, shopping. And I couldn't shake this sensation, that the floor wasn't truly solid. In my mind's eye, I could almost see it dissolving or pulling away, and my feet were anticipating the surface beneath me to stop existing, and for me to fall through. I ignored it.

When I arrived home I was more or less half conscious. Drifting in and out of being alert. At this point, some part of my mind became aware of the odd state, and I jolted into being hyperalert. My head had a fizzing feeling inside of it, and my right eye had a sensation like it wasn't working, or my field of vision was narrowing. I tested peripheral vision, I tested ocular muscles, pupils responded to light and tracked movement properly. I felt less than conscious, but couldn't find any measurable motor deficit. Facial muscles were fine, arms and legs were fine (I have allergies as well, and my left arm going limp is a symptom of some of them. Its hard to tell) Speech and memory was fine. I felt extremely tired. My face had waves of tingling on and off, but nothing sustained. Eye kept the sensation that it wasn't there however.

I never fully slept. I could move, but I just didn't want to. The urge or drive wasn't there. I felt a bit of drool trickling out of my mouth but it didn't seem to matter. I remember mumbling the lines to some song I haven't listened to in years half aware of my surroundings. I slept quite poorly.

Today I woke up. Feel really weak and spaced out, the right side of my brain feels numb and like theres a tight band wrapped around it. Eye feels like it exists, yet does not exist. Feel really apathetic and emotionless. Moreso than usual. I can't find much real....deficit, that I haven't experienced before. I have migraines at least 6 days a week. Eliminated all known triggers. Since I have a lot of neurological allergies, frequent migraines....this one was pretty different but its hard to tell. I feel strange and I just....I just don't know.

Anyone experience anything like this, or have any kind of input? I tried to keep it short.
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Watarimono responded:
I forgot to add. I had been feeling quite poorly for a while after running out of my multi vitamin. Because of my allergies I don't get to eat much, I figured my bodies stockpile of vital nutrients was likely quite low. I took 2x what I normally would have, at the time it seemed like it wasn't too far above baseline tolerances. The dosages are as follows.
Vitamin A - 30,000 Iu
Vitamin C - 2,000 Mg
Vitamin D - 3,200 Iu
Vitamin E - 400 Iu
Vitamin B1 - 200 Mg
Vitamin B2 - 100 Mg
Vitamin B6 - 50 Mg
Vitamin B12 - 2,000 Mcg
Vitamin B5 - 200 Mg
There is also chromium, zinc, and niacin as well. In retrospect, it seems foolish to have done that. I was in a lot of pain, and the desperation might have overshadowed more solid reasoning.

That may or may not play in. But I'm including it anyway. The amounts aren't high enough to cause acute toxicity, that I know of, but I could be completely wrong. It might not even be a factor at all.

Thank you in advance to anyone who responds. I'm the only one I've ever met who deals with such strange things, a beacon of familiarity wouldn't be unwelcome.
 
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Watarimono replied to Watarimono's response:
One last addition. I can never seem to get this right the first time.

My blood pressure felt low, and my heart rate was subsequently very high. I didn't formally check, but I've been monitoring it long enough that I would estimate 110 - 130 bpm. As I said though, I have a lot of allergies. I had eaten in an unusual amount of coconut and possibly soy, both of which drop my blood pressure and reduce level of consciousness.

This is stressful because I can never tell, and I don't have the money or...resolve to rush off to the ER every time. Its unique because of how bad it got, and its lingering after effects today.
 
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Watarimono replied to Watarimono's response:
I'm going to add on to this (as if anyone is keen on reading a stranger's meandering wall of text). The symptoms still have yet to improve. However, I recalled something that may or may not tie in. I didn't think much of it first, my memory is a trashed mess, even before this happened, it's a struggle to pin down details of an event.

I visited a chiropractor a few hours prior to this initial event. But as far as I can recall, they didn't even touch my neck. Someone had convinced me to "try" it, but in all honesty, I'm far too paranoid and inherently not fond of physical contact, I can't imagine myself letting someone do anything discomforting. They didn't do any sort of crazy snapping of the neck, just that basic, light compression thing they do, though I really wish I could remember if that had any proximity to the upper vertebrae. Point being, their action may have had precision, but I can't imagine it having any more chance of dissecting an artery than a fall down the stairs, or cracking your neck the wrong way. But perhaps I'm wrong? The two events are simply close together to deny a direct correlation, and I really don't know.

The other thing is, the symptoms haven't been improving, but they have been changing. It's hard to describe, as though my right eye, and the right side of my face is not mine. It has full tactile sensation, full muscular movement, pupils are responsive and visual fields have no measurable deficit beyond the migraine aura I've had for years now, but determined was not caused by prior infarction, yet, it doesn't feel right on me. It has a constant dull sensation, like it's melting. And I can feel a tight band around the inside of my head, making my brain feel numb on the right side. Like half my mind is asleep, whereas the other half is wide awake. Any attempt to put any strenuous "use" to the right side of my head, results in an exacerbation of the feeling, I run into this wall and just get hit with a massive wave of nausea and brief disorientation that quickly returns to normal.

Lastly. I have chronic / complicated migraines. I have for....3 years now, every week. At least once a day, avoid all triggers, take the proper vitamins. Yet it's changed. I feel no pain. None. Just a sense of latent underlying confusion, and unpleasant sensations. But my normal pain patterns are completely gone, my body is doing things I can't predict or understand. Could the chiropractor's....tampering, have changed inflammatory patterns enough to transform migraine type. It almost seems hemiplegic. I don't know. I just feel awful, and disembodied. All my usual approaches don't seem to change anything, and it refuses to improve. Until I can rule out issues with blood flow, or prior stroke. I'm quite....stressed, and, confused.

I post this here because maybe someone else has experienced something similar, or knows more about it.


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