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Ask the Clinician: Answers to Readers' Questions.
July 20, 2004

From John Claude Krusz, MD, PhD, and Teri Robert, for About.com

Created: July 19, 2004

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Ask the Clinician

Dr. Krusz is a recognized expert in the fields of headache and Migraine treatment and pain treatment. To read more about Dr. Krusz, click HERE.

If you have a question for this section of our site, please send it to clinician@ha-support.com. Questions will be answered by publishing the answers here. Please note: We cannot handle emergencies or diagnose via the Internet. For those questions, please see your physician.

  • 1) I am a 58-year-old woman diagnosed with migraines at the age of 17. I used to get 3 to 5 migraines a month, and could usually take care of them at home. I was always told that when I reached menopause, the migraines would disappear. Instead, they got worse. I'm now on opioid therapy and under reasonable control. Why has the intensity and frequency of my migraines gotten so much worse with menopause, instead of better. Thanks. Joan.
    Click HERE for our reply
    .

  • 2) After being a headache sufferer for over 40 years, I have just been diagnosed with occipital neuralgia. I have been treated for migraine, tension headache, TMJ syndrome, sinus headaches and some I can't even remember. When I do get a headache is it most always on the left side and where I really feel the pain is behind the left eye. I often get very nauseous with these and have always referred to them as my sick headaches. Do you have any information on occipital neuralgia? Thank you, Sabrina.
    Click HERE for our reply
    .

  • 3) Dear Doctor,
    My EEG shows a "migraine variant/variance". I know quite a few people with migraine, but I don't know anyone who has this abnormal EEG. Whenever I've mentioned this to doctors they just kind of nod their heads, but don't explain much. This is the way it was explained to me: "The abnormal brain wave that you have looks just like that of a person with seizure disorder (epilepsy). The only way we can tell the difference is by your clinical examination. You obviously have symptoms of migraine". I guess it's always kind of bothered me, thinking that maybe I've missed something. I've suffered with intractable migraine for over 20 years. Some periods of time have been fairly normal, but not enough! Part of my concern is that my aunt has epilepsy. Please offer your advice/opinion on this matter. Thank you, Marcia.
    Click HERE for our reply
    .

  • 4) Is there any treatment to reverse the damage resulting from a migraine related cerebral infarct? The symptoms are mainly impairment of vision. It has been 5 months since the attack and I am taking a blood thinner.
    Click HERE for our reply
    .

  • 5) I wake up every morning with a soreness in the back of my neck and a hang-over like headache which makes me nauseous. I do not drink. I have had previous neck discectomy and fusion at three levels. I suffer from chronic muscle tightness in neck and shoulders. The headache lasts all day. Any suggestions? Jonathan.
    Click HERE for our reply
    .

  • 6) I have been getting migraines for 25 years now. I am on Inderal 40 mg a day three times a day for prophylaxis and Zomig for migraines. Is 5-HTP something I should avoid using or could it help. I am confused as to whether it is an serotonin agonist or a receptor. I usually get migraines three times a month. Could Relpax work better for me than the Zomig? Thank you, MJ.
    Click HERE for our reply
    .

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