Monday, May 28, 2012
Sunday, May 10, 2009 Doug asks

Q: I was just diagnosed with "complex migraine"

I am a 50 year old male who has never had migraines before.  I woke up in the middle of the night with the right side of my lips asleep and my right arm asleep. It was not a major but a minor asleep feeling. I was sleeping on my side and thought that had something to do with it, but it didn't clear when I got up and walked around.  We went to the emergency room, and long story short, the doctor says I have a "complex migraine," and put me on Topamax.  I have had headaches, but they have always been average to slightly above average in intensity, with no tingling until now, and with the pain varying from being in the sinuses to being in the temples to being at the base of the skull and sometimes in all these areas with a crawling sensation on my scalp.  Every once in a long while I will get dizzy and have a bad case of tinnitus (though I have tinnitus all the time) right before the headache. I'm a little confused.  Topamax causes tingling, so I don't know if my tingling is real or not, and  my wife has migraines and they seem to put her down with major pain and light affects her - this doesn't happen to me. Is this a migraine?

 

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Nancy Harris Bonk, Health Guide
5/14/09 10:18am

Hi Doug,

  

We can't tell you whether or not you have a Migraine, because we are not medical professionals. But we can provide you with information that you may be helpful for you and your doctor. How does that sound?

 

One of the most important things is to get an accurate diagnosis. To simplify matters and make it easier for people to get information and treatment, doctors usually go by the gold standard for diagnosis, the International Headache Society's International Classification of Headache Disorders, 2nd Edition (ICHD-II). Under ICHD-II, there is no diagnosis of "comples Migraine." We do see it used, but doctors use it differently, so it really doesn't tell anyone what type of Migraine you actually have. You can read more about this in The Type of Migraine Does Matter.

 

Each person who has Migraine, a genetic neurologic disease, experiences an attack differently. My Migraine attacks are different from my son's, triggered by different things. Anatomoy of a Migraine explains the four phases (that not everone gets) of a Migraine attack. But tingling may be just one symptom of a Migraine attack.

 

 If these are new symptoms, it is always important to talk to your doctor as soon as possible especially when a ER visit is involved. I would think he would want to run some tests to make sure everything checks out ok. An ER doctor does not usually have enough expertise to diagnose someone with Migraine disease. If your doctor isn't able to help you, it may well be time to consult a Migraine and headache specialist. It's important to note that neurologists aren't necessarily Migraine and headache specialists. Take a look at the article Migraine and Headache Specialists - What's So Special? If you need help finding a Migraine specialist, check our listing of Patient Recommended Migraine and Headache Specialists.

 

 

I hope this is helpful,

Nancy

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By Doug— Last Modified: 11/16/10, First Published: 05/10/09