basilar migraines

i woke up with a basilar migraine and in the middle of a hot flash at 4:30 am. i can't help but think my basilar migraines cluster around hormonal changes. i take dramamine for my basilar migraines which have begun to occur about once a month. i used to get basilar migraines once a year or so. i am a woman in my early 50s who never had a basilar migraine before my late 40s. is anyone else out there experience similar symptoms? and what have your doctors said? thank you so much for any response!

[Dr Santos]

Hi,
How are you? Basilar migraines or Bickerstaff syndrome, may be associated with localized vertebrobasilar vasoconstriction. this may lead to transient posterior circulation ischemia that leads to the symptoms.  Other possible causes include syncopal, inner ear disease, intoxication, and posterior fossa pathologies. It would also help to rule out the said differentials. Take care and do keep us posted.