Headache

Question
Posted by: | 2017/11/01

Q.

Migraine and normal MRI?

Daily headache w/vertigo for abt 2 mos. First was dx'ed w/ sinus infection, even tho no congestion. Went to Dr. again, referred for MRI w/ contrast, given 7-days of Fioricet. Didn't last 7 days - had to call to get ok to take 2 at a time just to make headache bearable. MRI said to come back normal. Results had note mentioning areas of elevated activity - lesions in white matter - that were noted as "within normal limits for age". I'm 45. Referred to neurologist, who dxed as "migraine", rx for 6 days steroid pills. He wanted to give Depakote for prevention, but when I said I wasn't comfortable taking Depakote, he seemed annoyed & offered no alternative. GP wouldn't refill 7-day Fioricet rx (which barely worked anyway), & when I asked for a migraine relief rx, he said, "but it's not a migraine". Now, I'm frustrated. No headache history. I had one full-blown seizure, last year, indicated on my paperwork, & neurologist didn't ask about or acknowledge it. Noises make my headaches much worse. I've had ocular migraines 2 or 3 times/yr for years, no pain, just blindness in peripheral of one eye with ziggy black lines in vision. Lasts 1 hour or less. I also mentioned a "brain seizure" type feeling that I've had regularly, to which my neurologist smirked and shrugged off, saying he has no idea what that is. I know brains don't feel anything, but that's the only way I can describe that feeling. Sometimes that feeling is relieved a little by vigorously shaking my head (which makes my headache and dizziness worse for a min.), but lessens that feeling of something rapidly vibrating or an electrical storm or whatever happens with this "brain seizure" feeling. (A) Is my MRI considered normal at 45 y.o., w/the notes about the white matter lesions and over-activity in that area being normal for my age? (B) Is Depakote a normally-used 1st response for migraine prevention? I've already been on zoloft for yrs. (C) Does this sound like a migraine? (D) What do I do now, since my GP left me suffering for weeks saying not a migraine, referring me to neuro who says it is a migraine? I don't work & am under no stress. We noticed the neuro spent a little more time listening to the left side of my neck with the stethoscope & took extra time examining my left eye from the left side of the eyeball w/ his light. When I followed his finger w/my eyes, I asked him if it was relevant that following his finger hurt my eyeballs. He said, "it might be". Thank you for any input.

Expert's Reply

A.

Headache expert
- 2017/11/02

Already answered

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