Thursday, February 09, 2012
Sunday, December 13, 2009 Maybe Migraine asks

Q: Complex Migraine: can it be a mild headache with memory loss and aphasia?

Since pregnancy with twins last year, I have had 5 episodes of headache with complications (nothing more than a regular headache). I have NOT had nausea, light sensitivity, throbbing, or focal headaches. One time I had sound sensitivity. What I do get is memory loss, slurred speach, inability to think of or understand some words (aphasia), inability to function normally (can't figure out how to get out of the car or make a phone call, etc), and decreased level of consciousness (not remembering my name, my babies' names, the year, etc). I had a negative brain MRI, negative EKG, negative echocardiogram, and normal labs (including thyroid). The doctor (internist) diagnosed me with Migraines. Is it possible that this is truly Migraines, even though the headache symptoms don't indicate Migraine? Have these studies adequately ruled out anything else important, or is it important to have other studies done?

 

Also, the internist gave me Topamax and said it's ok to take it while breastfeeding. Everything I find online says it's not the best idea. Any suggestions?

Answer This
Answers (1)
12/19/09 11:33pm

I'm not sure where you got the term "complex Migraine," but that's not a type of Migraine. Some doctors use ther term, but they use it differently, so it's very confusing and difficult to know what type of Migraine you might actually have, if you have Migraine.

 

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). You can read more about the importance of a correct diagnosis in The Type of Migraine Does Matter.

 

What you describe can be fairly typical for Migraine, however, that's something nobody can confirm for you via the Internet. The studies you've had would be, in most cases, adequate, but again, nobody can say that definitively via ther internet.

 

Topamax is generally not considered a good medication for a breastfeeding mother since it's safety has not been established. There are over 100 other options for Migraine prevention. You can find a list of them in Migraine preventive medications - too many options to give up!

 

It might also be helpful for you to read about the possible phases of a Migraine attack and their possible symptoms in Anatomy of a Migraine.

 

All of your questions are excellent, but they should be answered by your own doctor. 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 the information I've provided will make it easier for you to ask your doctor these questions and get some answers.

 

Please let me know how things go?

 

Good luck,

Teri

 

xx

Reply
Answer This

Important:
We hope you find this general health information helpful. Please note however, that this Q&A is meant to support not replace the professional medical advice you receive from your doctor. No information in the Answers above is intended to diagnose or treat any condition. The views expressed in the Answers above belong to the individuals who posted them and do not necessarily reflect the views of The HealthCentral Network. The HealthCentral Network does not review or edit content posted by our community members, but reserves the right to remove any material it deems inappropriate.

Ask a Question

Get answers from our experts and community members.

Btn_ask_question_med
View all questions (4219) >