04/23/07 #1 - OK to go back to work following Migraines?

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  • Full Question:
    I had an episode in August where I lost my vision and speech and had severe pins and needles and numbness down my right side. My blood pressure was sky high and so was my cholesterol levels. I am still left with altered sensation in my right side. I was 34 years old and at first was diagnosed as having a TIA.

    I have since concluded all of the tests and they have now told me that it is Migraine Aura without Headache.  They said they have come to this conclusion as I had two migraines in my youth. After these attacks I feel very tired and confused for days later. I want to know if I am OK to go back to work after these attacks or if I need to rest. I have a a very stressful job and 2 young children and I work full time. Since August I have had 2 more attacks but I have not had the vision or speech impairment. The Neurologist has said that these are stress related and if they carry on she will refer me to a psychologist. Is there any thing I can do to prevent these attacks. Vicky.
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    Answer:

    Dear Vicky;


    Certainly, even 34-year-olds can have TIAs. Imaging studies don't often show anything although they can. Certainly acephalgic Migraine (that is, everything but the headache) can also exist and can be very dramatic in the presentation. Most people after a Migraine will feel tired and sometimes confused and I would suggest some rest of federal possible despite your two full-time jobs (work and young children). Stress related events can come in all forms and the idea of seeing a psychologist for relaxation strategies or biofeedback is an excellent one. On the off-chance that you're symptoms may be related to cholesterol and high blood pressure and discussed with your doctor having low dose aspirin on board as well. 


    Good luck,
    John Claude Krusz and Teri Robert



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Published On: April 22, 2007