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Diagnosed with migraine, nagging pain in left temple, intermittent jittery feeling in eye. Is this due to migraine?

I was diagnosed with migranes about eight months ago, but I have had a severe headache that woke me up and stayed with me for four days, now i just have a nagging pain in my left temple and its also making my eye feel like its jittery although it does not look like it when i look at it. It comes and goes. could this still be a migrane, i scheduled an eye exam for tomorrow because i did have a scratch in my left eye last week and the dr gave me eye drops to clear it up.
Asked On : Thu, 13 Dec 2012
Answers:  1 Views:  85
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General & Family Physician 's  Response
Dear concerned.,
Thanks for writing to us.
Migraine is caused by cerebrovascular congestion brought about by a gradual increase in the concentration of neurotransmitter substances such as serotonin in particular areas of brain.
Migraine is characterised by a triad of (1) Prodrome;- a feeling of flashes of light/abnormal smell etc indicating that there would be an attack of migraine. In addition an impending attack may be characterised by a feeling of Aura.(2)A positive family history of migraine in first degree relatives.(3) vomitting almost always relieves the migrainous attacks.
Various medicines have been tried for the control of acute attacks to completely cure the condition with varying degrees of success.
From paracetamol,beta blockers,ergot alkaloids,to phenothizines such as promethazine and flunarizine have been tried with long term therapy and results varied.
Pls consult a Neurologist for a detailed work up of Migraine including special imaging investigations such as CT scan /MRI to come to a definitive diagnosis of what exactly in brain is causing migraine such as Cerebro vascular AVMs/Aneurysms/SOL.
The paroxysmal temporal headache radiating to eyes could be a manifestation of migraine.
Get your eyes also checked up for Refractory Errors as Myopia/Hypermetropia and Astigmatism also cause headache due to stress and strain on extra ocular muscle fatigue.

Wishing you a Speedy Recovery.,
Best Regards.,
Dr Lt Cdr ASN Bhushan.,
Answered: Sat, 15 Dec 2012
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