15 answers

Migraine Suffers Please HELP!!!

Had a bizarre skiing accident and collided with a snow boarder. Long story cut shot, I fell on the back of my head and felt that I had the wind knocked out of me. Luckily had my helmet on so it blunted the force trauma. Got up skied down the slopes and headed back home. Went the next day to make sure that there was no damage to the neck and shoulder since neck and shoulder were pretty badly sprained. MRi was done both of the neck and also on the brain both normal.

Seemed to be getting better. 2 weeks after the accident, I lost almost all vision in left eye - later diagnosed as ocular migraine that started due to the post-traumatic injury. Eye is recovering but always feels heavy but now I have a migraine and not sure that if I stop Imitrex whether the headache will return!!! Doc puts me on predisolone and Imitrex but the Imitrex makes me jittery and so tired!!! Not good when you are running after kids.

Now he wants to take Lamictal XR but I am so nervous about just popping pills. Did research on it and found out that it an epilepsy medication that has been given to migraine sufferers? Any advise would be really appreciated.

1 mom found this helpful

What can I do next?

So What Happened?™

Update on what has happened:
The migraine was actually not a migraine, I went in to UCLA and got an MRA which looks at the blood vessels. I went it on Wednesday at 3pm to a vascular surgeon and was dumfounded with what he told me:
a. Due to the ski fall I had dissected a large portion of the left carotid artery. There was a big tear and a clot had formed on top of the tear.
b. A chunk of that clot probably broke off, traveled up into the brain and created the so-called "migraine" symptoms loss of vision, shakiness and numbness in the right side of the body namely arms and legs
c. I had symptoms of a transient attack aka mini stroke like symptoms. He asked me a simple question" Did any doctor examine or listen to your neck ? NO If they had they would have caught the problem right then and there.
I was admitted immediately at UCLA where I underwent a battery of tests. The tear occured near an area which is too high up in the neck and they were thinking of possibly stenting (like heart stents) and undergoing immediate surgery which probably would have been fatal. The final conclusion is that they are going to put me on medications for 6 months and let the body heal itself. What worked in my favor is that apparently my internal circulation was very strong and therefore did not let the stroke actually happen.
But the scary part is that if I had waited I got have had permanent damage from a massive stroke. I am only 39!

Featured Answers

I have suffered with migraines for most of my life and I had similar side effects as you with Imitrex although it was effective for me in relieving pain. I now take Maxalt which is in the same class of drugs but I have no side effects with it. My doc actually prescribed it because of the lack of side effects in most users. Hope this helps.

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If the MRI was done right away, there could have been a slow bleed in the brain causing issues. Another MRI might be needed. Also I have had something called "migraine equivalents" and it was just like I had a stroke on my left side that would go away. That seemed like a TIA (transient ischemic attack) to me..but doc said no way. However I ended up having a stroke because it probably was a TIA or at least a warning for a stroke,,,not that it is happening to you. Just to warn you that you may need a second, or even third, opinion. Don't wait around for this. In this case time equals viable brain matter. God Bless.

1 mom found this helpful

ive had migraines since I was 10!!!! (thats almost 21 years now!!! hard to believe)

1) the one medication ive found to work in preventing them now is Topamax. I couldn't live without it now. it originally worked for siezures but is great with preventing migraines. might decrease your appetite a little in the beginning (i lost some weight) but nothing drastic. it DEF prevents my migraines!!!!!

2) no pain meds really work for me once a migrain starts EXCEPT excedrin migraine. funny how all those prescriptions with big price tags are designed for this but the over the counter stuff works the best.

3. my neuro recently gave me Cambia to take with the onset and it does work for those BAD ones where I don't want the caffiene of Excedrin Migraine but need a good pain killer without being knocked out.

so my advice would be:

seek a preventitive if you seem to get them a lot.
keep a couple bottles of excedrin migraine around (house, purse, car) bc it DOES work wonders!!!!! (take with coffee or soda)
inquire about cambia (no side effects that i noticed)

I will email you personally later (hopefully tomorrow), but I want to really caution you from taking these drugs the doc is prescribing....especially the Lamictal! It's used primarily as an antidepressant!
Lamictal is a drug too that for some people once you stop you can never go back on it....not something you want to be dependent on, then try to get off, and discover you can't take it anymore.
I have had vertigo for several years (chronic dizziness) and both neurologists I saw wanted me to try all kinds of crazy drugs, and they ended up messing up my brain and mental health really bad! Be really really careful, a lot of neurologists are totally brainwashed by the pharmaceutical companies and they will have you popping pills left and right and destroying your health.
I am with the people who are suggesting chiropractic and acupuncture. But I would also be careful with any neck adjustments from the chiro for a while....you may make your problem worse. You need to heal, you've had a terrible injury.
I know of a great chiro. I also am curious if the neuro you are seeing is Dr. Mehta? I know he practices in different places, and he is a major pill popper and uses his patients as "guinea pigs" for his research theories. I am SO bummed he was ever my doctor!

I had a artery dissection causing a stroke 6 years ago. I had double vision for 3 months and have had migraine ever since. Sounds like a head injury similar to you. My doc has tried several med over the years. The best I have found is Topamax. Any thing was an mild form of antidepressant mad me feel awful. I also take oxycodone when I get one, this sometimes knock them out before they get too bad. If it doesn't work I use a wash cloth on my forehead and the back of my neck. This relieves the pain so I can rest. As long as I don't move the pain is gone, but as soon as I get up it will be back. The wash clothes allow me to sleep off the headaches. It seems every 6 months to a year my doc changes my meds because something new has come along and the others has stopped working. Topamax I have been on the longest. They are also looking into as a weight loss drug, food just doesn't taste the same.

I have been on every known migraine medication beginning in 1997 -- it's really just a matter of finding the right 'cocktail' that works for you. You're lucky, they know the cause so they can begin to narrow the field. Epilepsy drugs are very common cross over meds for migraines - just double check the side effects - as with any medication! Don't worry about what the original use of a medication is - so many medications have multiple uses - Botox shots for migraines are amazing and the base of skull will be wrinkle free! Really, trust your neurologist, that is why you go to them. If you don't then find a new one. I take a daily pill to manage my migraines and headaches and then I have 2 different PRN medications depending on the severity of the migraine - that's pretty standard. Good luck! Second and third opinions are never a bad thing ....

My son and I both get migraines and the thing that works for us when we feel one coming on is a good strong cup of coffee.
Caffeine is one of the ingredients in Excedrin and it works for us if we catch it soon enough.
I take a seizure medication for nerve damage caused by shingles. I don't know if it helps with migraines or not since that's not what I take it for. But, my migraines aren't nearly as bad as they used to be.
You might need further work up since yours seem to be injury related.
Have you tried coffee?
I know it sounds strange, but that's what I give my young son and it keeps his migraines at bay. He doesn't jump around like crazy or anything. It actually puts him to sleep and stops his head ache. IF we catch it early enough.

Best wishes.

You need to get a thorough check out immediately by a good neurologist. If you don't have confidence in the doctor find another one.
It once took me 6 months and 3 doctors to find the source of a problem, but if I hadn't persevered, I would be dead.
Unfortunately, after going through that and knowing better, I didn't get a 2nd opinion last Feb and now have to have 1/3 of my lung removed.
You have to be your own advocate.

I have suffered with migraines for most of my life and I had similar side effects as you with Imitrex although it was effective for me in relieving pain. I now take Maxalt which is in the same class of drugs but I have no side effects with it. My doc actually prescribed it because of the lack of side effects in most users. Hope this helps.

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