Questions posted in the Neurology and Neurosurgery Forum have been answered by doctors from The Cleveland Clinic Foundation.

Question Title: Migraines (basilar), elevated bp, light headed, lights, suddenwarming sensation

Forum: Neurology Forum
Topic: Neurology - General


I have been diagnosed with Basilar Migraines. My doctor (neurologist)
claims that my dizzy spells are called "Alice in wonderland syndrome", but
i can't find any information on this or the cause. When i get these i feel
as though a dream feels but i can't think straight and my coordintion is
off. Can anyone explain this to me.

I have been suffering from the headaches for 14 years or so, but they
increased after the birth of my last child 4 years ago. Recently i had an
experience, I was at work just standing talking and my whole body got a
warm sensation and i got real dizzy, a few days later i had a migraine that
lasted for 3 days.After the spell i had my bp checked and it was 140/95, i had
my medicine about 8 hrs before.

Currently I am on Norvasc (5mg) Elavil (50mg) {and Naproxin (500mg)for migraine
pain}.

Also, I have a grandfather who had Cerebellum Ataxi (deceased) and an aunt and
uncle who also suffered from this. Could there be a connection?

=

Basilar artery migraine is named because the territory of the brain affected is fed by the basilar artery. It's an extremely important region of the brainstem, and if the basilar artery constricts (as it can in this disorder) you get neurologic symptoms related to dysfunction of the brainstem. Also, the part of the cerebral cortex which processes vision is fed by branches of the same artery, so symptoms can be related as well to occipital cortex dysfunction.

Typically, one expects dimming of consciousness with possible passing out, vertigo, double vision, slurred speech, incoordination, possible limb weakness or numbness, and odd visual sensations, to name a few.

The cerebellum is also fed mainly from this blood supply, so ataxia (a certain kind of clumsiness) may result. However, ataxia resulting from malfunction of the cerebellum is seen in many people, not just migraine. The diagnosis of your relatives with a form of cerebellar ataxia is worth knowing about but is not likely to be relevant to symptoms of basilar artery migraines.

I hope this helps. CCF MD mdf.





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