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20 year old having dizziness, cold sweats, breathing difficulty. Is it a migraine episode? Had mitral valve prolapse and palpitations in the past

20 years old, female, 150lbs, 5 4in. It s happened about 7 times already and started a couple of yers ago, I start having cold sweats, become extremely dizzy and weak. My breathing becomes a bit labored, and I get extremely pale and very cold. The brightness in my vision also somewhat exaggerates the brightness, like everything that has light is just turned up like the sun. The doctor in my university infirmary says it may be some kind of Migraine episode, but tests would be preferable to be sure. If it matters, I ve been diagnosed with mitral valve prolapse about 5 years ago. I get palpitations every now and then, but none during the attacks describes above.
Asked On : Fri, 6 Jul 2012
Answers:  1 Views:  50
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Neurologist 's  Response
Nov 2013

Thank you for posting your query.

I have noted your symptoms. It is possible that you have migraine with visual aura, however, we need to be sure and exclude other possibilities.

Dizziness and visual symptoms along with weakness could occur in migraines. However, laboured breathing, cold sweats, and paleness are not common features of migraine.

We need to exclude a diagnosis of cardiac arrhythmias (abnormal heart rhythm). This can be done by doing a 24-hour Holter monitoring.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Click on this link to ask me a DIRECT QUERY:

Answered: Tue, 20 May 2014
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