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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Atypical Migraine Cause Reversible T Wave Inversion In All Leads Except For AVR/AVL?

Can atypical migraine cause reversible T wave inversion in all leads except for AVR/AVL? Admitted a 32y/o pt last night with new T wave inversion in almost all leads with no angina symptoms, presented with 10 hrs of bilateral finger and toe numbness, transient prox thigh weakness, L temporal mild headache. + Hx of typical; migraines in the past. + Epidural steroid injetion to lumbar spine 4 days before Symptoms resolved by am and EKG was back to normal.
Mon, 19 Dec 2022
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Neurologist 's  Response
Hi,

Migraine may cause reversible changes in the ECG including T-wave inversions. Having said this, it's worthwhile to evaluate thoroughly for any underlying ischemic heart disease even in young patients without typical angina.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Abhishek Juneja, Neurologist
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Can Atypical Migraine Cause Reversible T Wave Inversion In All Leads Except For AVR/AVL?

Hi, Migraine may cause reversible changes in the ECG including T-wave inversions. Having said this, it s worthwhile to evaluate thoroughly for any underlying ischemic heart disease even in young patients without typical angina. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Abhishek Juneja, Neurologist