Collapsing And Being Unconscious W/ Severe Migraines

Question

Asked by Carolyn

Collapsing And Being Unconscious W/ Severe Migraines

My daughter, who has suffered from transformed migraines and abdominal migraines for the past 14 years, has been collapsing and found unconscious multiple times a day for the past ten days. She says that her migraine pain is very bad. She describes her condition as having severe migraines without a decrease in pain for the past ten days.

Does an intractible migraine cause this condition and/or is she also suffering from autonomic dysfunction? I am taking her to an ER for evaluation today b/c her primary care has instructed us to do so.

I feel somewhat guilty as at my request she agreed to detox off all pain meds six weeks ago. Her daily prophlaxis meds are Topamax, Lexapro, and Seroquel and Remron for sleep. For acute pain, which she says she has all the time for the past ten days, she alternates between shots of Toradol and Xyprexa. On days when she says the migraine pain is less severe, she takes Axert.

Answer

Carolyn,

Welcome to MyMigraineConnection!

Although it's not at all common, loss of consciousness can occur with Migraines. Still, it needs to be thoroughly checked out both to make sure nothing else is going on and to find a way to stop it.

What I don't understand is the use of Toradol and Xyprexa instead of her abortive Axert. The goal of acute Migraine treatment should be to abort the Migraine -- stop the Migrainous process in the brain, thus shutting down the Migraine and the associated symptoms. Toradol and Xyprexa would usually be reserved as rescus medications to be used if the Axert failed. You can find more information on this in Preventive, Abortive, and Rescue Medications - What's the Difference?

If used more than two or three days a week, both Toradol and Axert can make matters worse by causing medication overuse headache. See Medication Overuse Headache - When the Remedy Backfires for more information on this.

Sometimes, the best treatment for intractable Migraines that aren't responding to medications is IV infusion therapy to get the cycle broken. For more information, see IV Treatment of Refractory Migraine.

If her doctor isn't able to help, 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 some of this information help. Please let me know how your daughter is doing?

Welcome again,

Teri