Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
184 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Can migraines infest as facial tics, painful eyes and stuffy nose?

Last night I was experiencing what I thought was a migraine (I ve been suffering from migraines for nearly 10 years now...I am 38), but it came on very quickly and was different. The pain was severe around my left eye, my nose got suddenly stuffy and my cheek underneath my left eye started twitching. I was briefly, but intensely, nauseous for about 20 minutes at one point during the headache. I was uncomfortable and unsettled overall and wasn t sure what to do. At some point I fell asleep and woke up the next morning with a typical migraine hangover and also pain in or near the tear duct in my right eye. I am anxious about getting another headache like this. It was worse than the usual migraine that I get. Plus, the facial tic made me nervous. I don t know if the pain I m still feeling in my right eye near the tear duct is related at all. Does this sound like just another version of a migraine? Thanks.
Wed, 28 Oct 2015
Report Abuse
Question is related to
Diseases and Conditions
  User's Response
Hello!

Welcome and thank you for asking on HCM!

Your symptoms seem to be related to a Cluster Headache. It is not a typical migraine, as autonomic features (stuffy nose, eye redness and pain, tearing) are not typical of migraine.

The duration (over 20 minutes) is typical of a Cluster Headache.

Although the facial twitching is not a characteristic of this type of headache.

I recommend consulting with a neurologist for a careful physical examination and a brain CT scan or MRI to exclude a possible intracranial lesion (of the ponto cerebellary angle), which could be related to your symptomatology.

Some blood lab tests are also needed :

-complete blood count (infection, anemia)
-PCR, sedimentation rate (inflammation, to exclude temporal arteritis)
- blood electrolytes

You should discuss with your doctor on the above possibilities.

Hope to have been helpful!

Best regards!

Dr. Aida Quka
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in

doctor1 MD

I have started having a severe facial tic with my right eye and cheek. Not painful, just spasms. Saw my general physician and he was going to...

Recent questions on  Migraine

doctor1 MD

I`m 30, 5`5`and approx 200 lbs, I`ve missed my period entirely, just took a home pregnancy test and the result is not pregnant. I have been...

doctor1 MD

ive been suffering from dizziness and confusion sporadically. it only last for a few moments, often less than a minuet. ive been suffering from...

doctor1 MD

Hi I m a 21 year old female and for the past month I ve been feeling off. One minute I feel fine and the next I very a migraine and feel very...

doctor1 MD

Hi:) for a few years now I have been getting migraines in the evenings frequently. I also have stomach issuess after eating things that contain...

doctor1 MD

Doctor, I have experienced some strangeness for two days now. I have had 2 TIA's in the past with slurred speech and numbness on the left side of...

doctor1 MD

Recent visit 12-21 for headaches that I have for weeks they come and go for months at a time .they start in front and go around my head ,some...

doctor1 MD

We are wondering if my husband may have had a small stroke. Taken to the er with confusion loss of balance extremely high BP and migraine type...