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Suggest Treatment For Prolonged Migraine Aura

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Posted on Tue, 6 Jun 2017
Question: been dealing with foggy head feels like im in a dream.. about 2 weeks ago i started getting werid visual disturbances with vivid colors, shadows., i cant concentrate.. i do suffer from severe anxiety .. i am on lexapro, remron, klonooin, n perphenazine.. i do get ocular migraines maybe once or 2x a year.. with the aura n zig zag line that goes away in 20mins.. i dont see that.. n this is 24/7 not 20 mins. it kinda feels the very beginning of a migraine but it never goes full force.. im sorry im all over but its very hard to explain what is happening.. i dont know what this is.. n what i should do about it. please help.. thank u
doctor
Answered by Dr. Dr. Erion Spaho (49 minutes later)
Brief Answer:
Prolonged migraine aura.

Detailed Answer:
Hello again and thanks for being here on HealthcareMagic.

I have read your new question and understand your concerns.

In my opinion, the first condition to consider and discuss with your Doctor is persistent migraine aura.

Other conditions to get into consideration in order to achieve a correct understanding of your current medical situation include worsening of anxiety, fatigue, any viral infection lately, anemia, etc.

For this purpose is necessary to get evaluated clinically by your primary care Doctor and by appropriate blood and other tests that may be necessary after this examination.

Treatment depends on these tests results and examination.

Discuss with your Doctor about these issues.

Hope you found the answer helpful.

Let me know if I can assist you further.

Take care.



Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Dr. Erion Spaho (1 hour later)
is there medication or easy way for this to go away if its a migraine aura.. ? could this really be from anxiety?. i heard something about depersonalization? ever hear of that.. i went to the pcp n he said its either anxiety or medication reaction.. they reduced one of my meds already but thats not working.. he didnt seem to concerned but i think i should see a neuro doctor
doctor
Answered by Dr. Dr. Erion Spaho (11 hours later)
Brief Answer:
See a Neurologist.

Detailed Answer:
Welcome back.

It is necessary to get evaluated by a Neurologist in order to confirm or exclude persistent aura, because in some cases there may be accompanying brain damage.

If confirmed, treatment may include acetazolamide, valproate, etc.

I don't think there is depersonalization that is causing such symptoms.

Hope this helps.

In good health.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Dr. Erion Spaho (2 hours later)
what kind of brain damage. ? i know i have white matter lesions on my brain already.. i was checked for ms n all re l aged diseases.. now ur scaring me
doctor
Answered by Dr. Dr. Erion Spaho (44 minutes later)
Brief Answer:
I didn't mean to scare you.

Detailed Answer:
Hello again.

I didn't mean to scare you, in some cases, prolonged aura may be related to ischemic changes of brain.

I'm not saying you have it, but I think getting checked by a Neurologist is necessary to be sure, since I cannot examine you physically.

Remember, this is an online advising platform, medical examination can't be substituted in any way.

Hope I helped you so far.

Best regards.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Dr. Erion Spaho (9 minutes later)
i attached the last mri of the brain.. wouldnt this thinv ur talking about showup on that?
doctor
Answered by Dr. Dr. Erion Spaho (9 hours later)
Brief Answer:
This MRI is not related.

Detailed Answer:
Welcome back and thanks for providing MRI results.

That MRI was done two months ago, your new symptoms started two weeks ago, so, this MRI can't give us the necessary information about your current condition.

Probably after evaluation by a Neurologist a new MRI will be necessary .

These MRI findings suggest some progression of the brain lesions (white matter lesions) that may be related to infection, autoimmune diseases (demyelinating disorders), etc.

Hope this answers your question.

Take care.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
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Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4493 Questions

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Suggest Treatment For Prolonged Migraine Aura

Brief Answer: Prolonged migraine aura. Detailed Answer: Hello again and thanks for being here on HealthcareMagic. I have read your new question and understand your concerns. In my opinion, the first condition to consider and discuss with your Doctor is persistent migraine aura. Other conditions to get into consideration in order to achieve a correct understanding of your current medical situation include worsening of anxiety, fatigue, any viral infection lately, anemia, etc. For this purpose is necessary to get evaluated clinically by your primary care Doctor and by appropriate blood and other tests that may be necessary after this examination. Treatment depends on these tests results and examination. Discuss with your Doctor about these issues. Hope you found the answer helpful. Let me know if I can assist you further. Take care.