My 23-year old daughter was recently diagnosed with "confusional"/"complicated" migraine. (Her physician uses the terms interchangeably.) She has had 4 "episodes," the first one being approximately 2 weeks ago when she was driving alone, felt a "jolt" to her head (although there was no accident), and found herself waking up in her car on the side of the road approximately 2 hours later. She had amnesia for the greater part of the day, it seems -- can't remember how she even got back to her apt. or what she did all day, although she believes that she slept a good part of it. ER in the evening conducted CT Scan, EKG, blood/lab work, and all results were normal. For the following 5 days, she had continued symptoms of vertigo, was unable to read/drive, poor appetite, and was lethargic, but never a bad headache. Subsequent to a dr. visit, she had an EEG, which was also normal. However, meanwhile, she has had 3 additional '"episodes" during which I was with her &, therefore, able to observe. She becomes suddenly very dizzy (one time, with no warning at all), feeling as though she's going to pass out; sits, kneels or tries to lie down, followed by what seem to be involuntary movements (mildly jerky) of legs, buttocks, back) which she seems unable to control for 20-30+ minutes, after which she suddenly ceases all movement & goes to sleep for 4-5 hours. During the entire time, she never seemed confused, was able to answer all questions clearly (although with brief responses), but was extremely uncomfortable/miserable with body movements, vertigo, occasional nausea .... no headache before, during, or after, but totally exhausted mentally & physically after the episodes.
Does this sound typical of "confusional/complicated" migraine? Are there other diagnostics, i.e. MRI/MRA that we should consider? ANY OTHER SUGGESTIONS? THANK YOU SOOOO MUCH!!
~Beth