1. Home
  2. Health
  3. Headaches & Migraines

Ask the Clinician: 11/24/03, Answer #9

by Teri Robert
for About.com

Updated: November 24, 2003

About.com Health's Disease and Condition content is reviewed by the Medical Review Board

Ask the Clinician
Question: I am a forty-five year old female, had only occasional migraines for years until the last six months, when they became a daily event. I am now taking Maxalt, atenolol (100 mg), and imipramine (100 mg). The headaches are less frequent, down to one or two a week. But I have recently had the worst headache ever, different from others - severe pain in the lower back of my head, severe nausea and vomiting, vertigo, ringing in my ears (which is now constant), loss of balance and coordination . . .
Answer:

You should be able to bring up anything of concern to you with your neurologist. If he's not receptive, then it's time for you to move on. Only by carefully reviewing your medical history and doing a very thorough exam is anyone going to be able to tell you if you had Basilar Migraine. Not to frighten you, but it also needs to be considered that many of the symptoms you describe are stroke symptoms as well as Migraine symptoms. Have you had a CT scan or MRI recently? You're right that triptans and ergotamines are not recommended for Basilar Migraines; nor are they prescribed for patients with a history of stroke.

Please, if your doctor is not taking this seriously, dismiss him, and get a new doctor. You may want to investigate our list of recommended doctors. There's a link to it at the bottom of this page.
Teri Robert


Dear 45-Year-Old:
Dr Robert is quite right. Having said that, basilar migraine in a 45 year old is uncommon and your symptoms could represent many, many things. if you have a headache specialist in your area, that would be the way to go. Most general neurologists aren't headache specialists by any stretch of the imagination, although the general public might think so. Your long intermittent history is comforting but I can't diagnose over the Internet, as you can well imagine.

Please persevere and Good Luck,
John Claude Krusz

____________
To visit our directory of recommended specialists and clinics, click HERE.

Explore Headaches & Migraines
About.com Special Features

Learn how you can reduce your your numbers with these nutrition and exercise tips. More >

Keep yourself, and your family, happy and healthy this fall with these tips. More >

We comply with the HONcode standard for trustworthy health information: verify here.
  1. Home
  2. Health
  3. Headaches & Migraines

©2009 About.com, a part of The New York Times Company.

All rights reserved.