I was diagnosed about 10+ years ago with intractable migraines?

I was diagnosed about 10+ years ago with intractable migraines. I go through periods of having daily migraines and then sometimes for awhile the migraines are less severe and less frequent.

Some of my migraines are more ‘traditional’ in terms of being painful/nausea/vomiting/blurred vision

Other times I have migraines that caused passing out, one sided vision loss, slurred speech, numbness down one side (I may have all or some of these symptoms). MRI has ruled out more serious causes.

Do you know anything of this type of migraine? Preventatives and such have failed. I don’t take pain medication for them or anything of that nature?

I have other conditions: Systemic Lupus, Hermansky Pudlak Syndrome and hypertension

Age:37 Female
Medications: Topamax, Gabapentin

I am posting some test results as requested and will do so below. Also I was diagnosed with Basilar migraines-not sure if they are the cause of any of this.

I am sorry I do not have the images to uplaod, just the report.

This is from my most recent MRI with Contrast

TECHNIQUE
Multi-planar, multi-sequence, magnetic resonance imaging of the brain was performed before and after the administration of intravenous contrast.

FINDINGS
Diffusion-weighted sequence shows no restricted diffusion suspicious for acute ischemia. Expected intracranial arterial and dural venous sinus flow voids are present. No abnormal susceptibility artifactsuspicious for prior hemorrhage is noted on the gradient recalled echo sequence. Post-contrast sequences showno abnormal enhancement except for an incidental prominent right frontal developmental venous anomaly without cavernous malformation. No space-occupying mass, hemorrhage, brain edema, midline shift, hydrocephalus, or extra-axial collection. Unremarkable brainstem.

Otherwise, the brain shows normal morphology and volume for age. No focal parenchymal lesions are identified. The pituitary gland, corpus callosum, pineal region, brain stem, cerebellum, and craniocervical junction are normal. No significant paranasal sinus disease. Mastoids air cells are clear. Orbits are unremarkable. Incidental 6 mm Tornwaldt cyst of the nasopharynx. The skull-base and craniovertebral junction are unremarkable.

IMPRESSION
MRI BRAIN WITHOUT AND WITH CONTRAST:
1. No extra-axial collection, hydrocephalus, midline shift or detectable mass.
2. No intraparenchymal hemorrhage or recent infarct.
3. No abnormal intracranial enhancement ; incidental right frontal developmental venous anomaly without cavernous malformation.

___________________________________________________________________________________

Results from abdomen/pelvis CT
EXAM: CT ABDOMEN /PELVIS WITH IV CONTRAST WITHOUT ORAL
DATE and TIME: 8/1/2017 5:26 pm

HISTORY
CLINICAL INFORMATION: intractable nausea
TECHNIQUE
Oral Contrast: Oral contrast was not administered.
IV Contrast: IV contrast was used.
Abdomen/Pelvis: With intravenous contrast
COMPARISON
Abdominal ultrasound dated 07/28/2017. CT abdomen/pelvis dated 05/20/2016.
FINDINGS
LOWER CHEST:
HEART(visualized): Unremarkable
LUNG BASES: Dependent atelectasis.

ABDOMEN/PELVIS:

LINES AND DEVICES: None
LIVER: Hepatic steatosis.
BILE DUCTS: No ductal dilation.
GALLBLADDER: Cholelithiasis. No pericholecystic fluid.
PANCREAS: Unremarkable
SPLEEN: Unremarkable
ADRENALS: Unremarkable
KIDNEYS/URETERS: Kidneys enhance symmetrically. No hydroureteronephrosis bilaterally. There is a left renal lower pole cyst. Right renal lower pole too small to characterize hypodensity.
BLADDER: Unremarkable
BOWEL: Bowel is normal in caliber. No bowel wall thickening.
LYMPH NODES: There are multiple mildly prominent but nonenlarged mesenteric lymph nodes.
VESSELS: Unremarkable
REPRODUCTIVE ORGANS: Status post hysterectomy. Ovaries are within normal limits.
PERITONEUM/RETROPERITONEUM: No ascites, free air, or fluid collections.
ABDOMINAL WALL/SOFT TISSUES: Tiny fat containing umbilical hernia.
BONES: Multilevel degenerative changes of the spine
Celiac: Patent. Conventional anatomy. There is a 11 x 7 x 8 mm narrow neck aneurysm arising from a splenic artery branch.
‘
___________________________________________________________________________________

Holter Monitor Report

REASON FOR STUDY: Please refer to link for reason for study CONCLUSIONS: Good quality tracing. Basic rhythm sinus. Frequent palpitations and three unspecified events. Most correlated with supraventricular regular rhythm of 177 beats per minute although one event occured with sinus rhythm and one withsinus thachycardia. I think the fast rhythm is SVT but cannot exclude sinus tachycardia. No other abnormalities noted. Hookup Date: 20040325 Hookup Time: 144455 Recording Duration: 233700 # OF QRS COMPLEXES: 152487 VENTRICULAR ECTOPY : # OF VENTRICULAR ECTOPICS: 1 # OF VENTRICULAR ISOLATED BEATS: 1 # OF VENTRICULAR BIGEMINAL CYCLES: 0 # OF VENTRICULAR COUPLETS: 0 # OF VENTRICULAR RUNS: 0 # OF VENTRICULAR BEATS IN RUNS: 0 SUPRAVENTRICULAR ECTOPY : # OF SUPRAVENTRICULAR ECTOPICS: 0 # OF SUPRAVENTRICULAR ISOLATED BEATS: 0 # OF SUPRAVENTRICULAR COUPLETS: 0 # OF SUPRAVENTRICULAR RUNS: 0 # OF SUPRAVENTRICULAR BEATS IN RUNS: 0 Avg. Heart Rate: 108 Maximum Heart Rate: 177 BPM Minimum Heart Rate: 74 BPMMax. ST Dev. Level (ch.1): 2 Min. ST Dev. Level (ch.1): -20 Max. ST Dev. Level (ch.2): 6 Min. ST Dev. Level (ch.2): -4 Max. ST Dev. Level (ch.3): -128 Min. ST Dev. Level (ch.3): -128 LONGEST RR: 0.880 sec # OF PACED QRS COMPLEXES: 0

________________________________________________________________________________________________

EKG Results

CONCLUSIONS:
Normal sinus rhythm
Anterior infarct
ST & T wave abnormality, consider inferolateral ischemia
When compared with ECG of 31-JUL-2017 11:43,
No significant change was found

Ventricular Rate: 95
Atrial Rate: 95
PR Interval: 160
QRS Duration: 88
QT/QTc: 340/427 ms
P-R-T Axis: 43 : 22 : -42 degrees

____________________________________________________________________________________________’

*I am diagnosed with:

Hermansky Pudlak Syndrome
Systemic Lupus
MIgraines
Chronic Hypertension

Avm (arteriovenous Malformation)’
Spleenic Artery Aneurysm

3 Comments on “I was diagnosed about 10+ years ago with intractable migraines?”

Dr.Honey says:

at 7:54 am

Hi..
Thanks for the query..

All the symptoms that you are facing are not all probably due to Status Migranous or Intractable Migraine and is appearing to be the combination of the other medical conditions..

But still you need to once consult a Neurophysician and get a thorough examination done..

Please upload your MRI report so that I can guide you better..

Regards.
Kristian says:

at 2:48 pm

I am posting some test results as requested and will do so below. Also I was diagnosed with Basilar migraines-not sure if they are the cause of any of this.

I am sorry I do not have the images to uplaod, just the report.

This is from my most recent MRI with Contrast

TECHNIQUE
Multi-planar, multi-sequence, magnetic resonance imaging of the brain was performed before and after the administration of intravenous contrast.

FINDINGS
Diffusion-weighted sequence shows no restricted diffusion suspicious for acute ischemia. Expected intracranial arterial and dural venous sinus flow voids are present. No abnormal susceptibility artifactsuspicious for prior hemorrhage is noted on the gradient recalled echo sequence. Post-contrast sequences showno abnormal enhancement except for an incidental prominent right frontal developmental venous anomaly without cavernous malformation. No space-occupying mass, hemorrhage, brain edema, midline shift, hydrocephalus, or extra-axial collection. Unremarkable brainstem.

Otherwise, the brain shows normal morphology and volume for age. No focal parenchymal lesions are identified. The pituitary gland, corpus callosum, pineal region, brain stem, cerebellum, and craniocervical junction are normal. No significant paranasal sinus disease. Mastoids air cells are clear. Orbits are unremarkable. Incidental 6 mm Tornwaldt cyst of the nasopharynx. The skull-base and craniovertebral junction are unremarkable.

IMPRESSION
MRI BRAIN WITHOUT AND WITH CONTRAST:
1. No extra-axial collection, hydrocephalus, midline shift or detectable mass.
2. No intraparenchymal hemorrhage or recent infarct.
3. No abnormal intracranial enhancement ; incidental right frontal developmental venous anomaly without cavernous malformation.

___________________________________________________________________________________

Results from abdomen/pelvis CT
EXAM: CT ABDOMEN /PELVIS WITH IV CONTRAST WITHOUT ORAL
DATE and TIME: 8/1/2017 5:26 pm

HISTORY
CLINICAL INFORMATION: intractable nausea
TECHNIQUE
Oral Contrast: Oral contrast was not administered.
IV Contrast: IV contrast was used.
Abdomen/Pelvis: With intravenous contrast
COMPARISON
Abdominal ultrasound dated 07/28/2017. CT abdomen/pelvis dated 05/20/2016.
FINDINGS
LOWER CHEST:
HEART(visualized): Unremarkable
LUNG BASES: Dependent atelectasis.

ABDOMEN/PELVIS:

LINES AND DEVICES: None
LIVER: Hepatic steatosis.
BILE DUCTS: No ductal dilation.
GALLBLADDER: Cholelithiasis. No pericholecystic fluid.
PANCREAS: Unremarkable
SPLEEN: Unremarkable
ADRENALS: Unremarkable
KIDNEYS/URETERS: Kidneys enhance symmetrically. No hydroureteronephrosis bilaterally. There is a left renal lower pole cyst. Right renal lower pole too small to characterize hypodensity.
BLADDER: Unremarkable
BOWEL: Bowel is normal in caliber. No bowel wall thickening.
LYMPH NODES: There are multiple mildly prominent but nonenlarged mesenteric lymph nodes.
VESSELS: Unremarkable
REPRODUCTIVE ORGANS: Status post hysterectomy. Ovaries are within normal limits.
PERITONEUM/RETROPERITONEUM: No ascites, free air, or fluid collections.
ABDOMINAL WALL/SOFT TISSUES: Tiny fat containing umbilical hernia.
BONES: Multilevel degenerative changes of the spine
Celiac: Patent. Conventional anatomy. There is a 11 x 7 x 8 mm narrow neck aneurysm arising from a splenic artery branch.
‘
___________________________________________________________________________________

Holter Monitor Report

REASON FOR STUDY: Please refer to link for reason for study CONCLUSIONS: Good quality tracing. Basic rhythm sinus. Frequent palpitations and three unspecified events. Most correlated with supraventricular regular rhythm of 177 beats per minute although one event occured with sinus rhythm and one withsinus thachycardia. I think the fast rhythm is SVT but cannot exclude sinus tachycardia. No other abnormalities noted. Hookup Date: 20040325 Hookup Time: 144455 Recording Duration: 233700 # OF QRS COMPLEXES: 152487 VENTRICULAR ECTOPY : # OF VENTRICULAR ECTOPICS: 1 # OF VENTRICULAR ISOLATED BEATS: 1 # OF VENTRICULAR BIGEMINAL CYCLES: 0 # OF VENTRICULAR COUPLETS: 0 # OF VENTRICULAR RUNS: 0 # OF VENTRICULAR BEATS IN RUNS: 0 SUPRAVENTRICULAR ECTOPY : # OF SUPRAVENTRICULAR ECTOPICS: 0 # OF SUPRAVENTRICULAR ISOLATED BEATS: 0 # OF SUPRAVENTRICULAR COUPLETS: 0 # OF SUPRAVENTRICULAR RUNS: 0 # OF SUPRAVENTRICULAR BEATS IN RUNS: 0 Avg. Heart Rate: 108 Maximum Heart Rate: 177 BPM Minimum Heart Rate: 74 BPMMax. ST Dev. Level (ch.1): 2 Min. ST Dev. Level (ch.1): -20 Max. ST Dev. Level (ch.2): 6 Min. ST Dev. Level (ch.2): -4 Max. ST Dev. Level (ch.3): -128 Min. ST Dev. Level (ch.3): -128 LONGEST RR: 0.880 sec # OF PACED QRS COMPLEXES: 0

________________________________________________________________________________________________

EKG Results

CONCLUSIONS:
Normal sinus rhythm
Anterior infarct
ST & T wave abnormality, consider inferolateral ischemia
When compared with ECG of 31-JUL-2017 11:43,
No significant change was found

Ventricular Rate: 95
Atrial Rate: 95
PR Interval: 160
QRS Duration: 88
QT/QTc: 340/427 ms
P-R-T Axis: 43 : 22 : -42 degrees

____________________________________________________________________________________________’

*I am diagnosed with:

Hermansky Pudlak Syndrome
Systemic Lupus
MIgraines
Chronic Hypertension

Avm (arteriovenous Malformation)’
Spleenic Artery Aneurysm
Dr.Honey says:

at 7:36 am

Hi..
Get checked for the side effect of medication also..
Your diagnosis is appearing to be due to a combination of causes..
So a symptomatic approach of treatment should be done followed by followup to see if the symptoms improve..

Regards.

3 Comments on “I was diagnosed about 10+ years ago with intractable migraines?”

Leave a Reply