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Migraine, paralysis, involuntary vocalizations, shaking. Taking relpax. Treatment?

During my migraine last night I experienced a bunch of things -a sort of paralysis , which I ve had before, but also involuntary vocalizations - not talking but sort of shrilling or rattling air through my vocal cords, and my hands and feet flapping and scrabbling and pedaling. I ve been diagnosed with atypical migraines. What causes the movements and what are they called? I take Relpax for the migraines but unfortunately last night I took it rather too late so I had a worse than usual attack.
Asked On : Mon, 3 Sep 2012
Answers:  1 Views:  115
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Neurologist 's  Response
Nov 2013
Thank you for contacting Healthcare Magic.
Migraine is characterized by headache with nausea/vomiting. Paralysis can occur in complicated migraines.
The other symptoms that you have reported (vocalizations and involuntary movements of hands and feet) are not the usual symptoms of migraine. However, they can occur in epilepsy. In some people, migraine and epilepsy can co-exist.
You need to be evaluated by a neurologist to exclude epilepsy. This may require investigations such as EEG and MRI brain.
Treatment would include migraine preventive medications. The best choice would be anti-epileptic group of drugs (such as topiramate, sodium valproate or divalproex), which have efficacy against migraine as well as epilepsy.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist
Apollo Health City, Hyderabad
Answered: Mon, 3 Sep 2012
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