Our expert says:
The facial and leg numbness is a type of aura – although these usually disappear when the pain starts, prolonged auras are known to occur. As long as your neurological examination and MRI were clear, then your prolonged aura, although unusual, is just part of your migraine. The thirst can be part of what is the ‘prodrome’ – these are warning signs of an impending attack. With regard to the wrist pain, this is highly unusual, but as long as it disappears when the attack is over, then it is just another unusual migraine symptom, and is nothing to be concerned about – we are all different!
With regard to the focal hyperintense areas, they can be found in anyone, but are more common in migraine sufferers. They are of no danger, and can be ignored.
If, your neurological examination and MRI were clear, then the cause of your migraine is not neurological. To get to the root of the problem, you need what is called a “multidisciplinary assessment”. There are so many different structures in the head and neck, all of which can be involved in the headache process, that no single specialist can have all the knowledge necessary to make a comprehensive assessment and diagnosis. For instance, a neurologist will examine the brain and nervous system, a physiotherapist will look at the muscles, a dentist will examine the teeth etc. For this reason, the “multidisciplinary assessment” combines and integrates the expertise of different specialists who would normally treat headache patients in isolation, into a single more comprehensive body of knowledge. This enables the different members of the team to provide a co-ordinated treatment plan, so that all the contributing factors are addressed. In the majority of migraine sufferers, the problem can be successfully treated without resorting to invasive drugs such as prednisone and topamax – all medications have undesirable side-effects and should be avoided if at all possible.
This assessment must include a thorough examination of the head and neck muscles to determine the presence of abnormal tension, and of the external carotid vasculature to determine whether there is an arterial element to the pain.
Headache sufferers often have a poor Quality of Life due to the constant pain and associated symptoms. For a free assessment of how your headaches are affecting your Quality of Life, click on http://www.headacheclinic.co.za/
This information has been supplied and checked by the multidisciplinary team of specialists at The Headache Clinic, in association with The International Headache Society and the South African Institute of Headache and Migraine Science. For consultation with these specialists, call The Headache Clinic (Cape Town, Durban, Johannesburg) on 0861 678 911.
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal
advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.