Tuesday, May 29, 2012
Wednesday, June 10, 2009 Concerned Wife asks

Q: Complex Migraine - Is it normal to have neurological symptoms like loss of speech for a whole day?

My husband was diagnosed having complex migraines 5 years ago.  At that time the neurologist said the neurological symptoms usually only last for 10-15 min and if they last much longer, he should seek medical attention.  My husband usually loses his speech (words come out as "gibberish" if he tries to speak and often he cannot find the words for objects or people) but so far these symptoms only last for about 15 minutes.

Yesterday, he had the speech problems at 8 am and his speech did not return until about 12 hours later when the doctors were finally able to break the pain component.  He had CT scans, bloodwork and EKG, all of which came back normal so they believe it was another complex migraine.

Is it normal for the neurological symptoms to last that long?  Could this extended duration be doing any damage to his brain?  Is there anything he can take at the onset of these symptoms that may make it easier to control the migraine and reduce the duration and severity?

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Answers (1)
Nancy Harris Bonk, Health Guide
6/11/09 9:54pm

Hi Concerned Wife,

 

No, typical aura symptoms don't last for a whole day, but can last for about 5-60 minutes, and are completely reversable. For purposes of treatment, learning about your Migraines, being able to get care if you're away from home, etc., you need a full diagnosis of what type of Migraine you have. You can read more about this in The Type of Migraine Does Matter.  Another article that may be of interest to you is Migraine with aura - The Basics.

 

"Complex Migraine" is not a "standard" diagnosis as per the International Headache Society's International Classification of Headache Disorders, 2nd Edition, which is the "gold standard" for Migraine and headache diagnoses. If your doctor isn't able to help you, it may 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 helps,

Nancy

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By Concerned Wife— Last Modified: 10/21/10, First Published: 06/10/09