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Severe migraine headaches, like having a stroke, talking hurts. Is it due to stress?

severe migraine headaches , like I have a stroke . It is always in my right eye. It starts with a peripheal wave in my right eye. I have to get home immediatley. As it continues over my eye I lose my site in my right eye.. then comes the slurred speach, or should I say, I can t really talk. I try but words won t come out..actually crazy words come out..I can t think, confused, then the pain..I pack my head in ice for 8-10 hours. the next day my head is so hurts to talk and walk...this time it has lasted for 5 days now.... I usually have one only once a year, usually caused from stress . They seem to come more frequently and last longer. When I have them I feel they affect my brain. any advise?
Asked On : Sun, 27 Jan 2013
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Neurologist 's  Response

Let me tell you that headache can be due to many causes like brain tumor,brain infection, problems in the blood vessels in the brain, migraine, cluster headache. Another important thing to note that the presence or absence of certain complaints like fever, vomiting, eye pain, redness of eyes, tearing from one or both eyes, visual symptoms, weakness of hands, legs, difficulty in speaking etc will help us making the diagnosis. Further age and gender, family history are important. Migraine and cluster headache are diagnosis of exclusion.

Back to you, a detailed interview and clinical examination by a neurologist is required in your case. A detailed interview will clarify so many things as i have described above. This will tell us if a brain scan is required or not. All these exercises is to pin point the diagnosis and then treat rather than simple assumption in the current era of evidence- based medicine Further migraine and cluster headache do differ in their management.

Hope this will guide you better
Answered: Mon, 28 Jan 2013
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