Basilar or hemiplegic Migaines?

Ask the Clinician Health Pro
  • Full Question:

    My doctor is having problems deciding if I have basilar migraines or hemiplegic migraines. Besides a headache on one side, other symptoms I get are visual changes, trouble finding the right words to speak, and one leg being so weak that I have trouble walking. Which type of migraine does this sound like to you? I know you can't really tell me, but maybe some information I can share with my doctor? Thank you, Anita.


    Full Answer:

    Dear Anita;


    Thank you for understanding that we can't diagnose via the Internet, and good for you for doing some research!


    It can be very difficult at times to distinguish between Basilar-Type Migraine and Hemiplegic Migraine, but the clue may lie in the symptoms you listed. Hemiplegic Migraine is the only form of Migraine that causes true motor weakness like your leg being weak. Other forms can cause numbness and tingling, so it's important to differentiate between numbness and tingling and true weakness.

    Add This Infographic to Your Website or Blog With This Code:


    Here are a couple of links for you:

    Hopefully, this information will prove helpful to you and your doctor.


    Good luck,
    John Claude Krusz and Teri Robert



    If you need help finding a  Migraine and headache specialist,
     visit our listing of Patient Recommended Specialists.



    About Ask the Clinician:

    Dr. Krusz is a recognized expert in the fields of headache and  Migraine treatment and pain treatment. Each week, he and Lead Expert Teri Robert, team up to answer your questions about headaches and  Migraines. You can read more about Dr. Krusz or more about Teri Robert.


    If you have a question, please click HERE. Accepted questions will be answered by publishing the answers here. Due to the number of questions submitted, no questions will be answered privately, and questions will be accepted only when submitted via THIS FORM. Please do not submit questions via email, private message, or SharePost comments. Thank you.


    Please note: We cannot handle emergencies or diagnose via the Internet. Please do not ask us to diagnose; see your physician for diagnosis.


    We hope you find this general medical and health information useful, but this Q & A is meant to support not replace the professional medical advice you receive from your doctor. For all personal medical and health matters, including decisions about diagnoses, medications and other treatment options, you should always consult your doctor. See full Disclaimer.


    Follow Teri on    or 


    Page copy protected against web site content infringement by Copyscape© Teri Robert and J.C. Krusz, 2013.
    Last updated June 18, 2013.

Published On: June 24, 2013