MRI and migraine

I am 32 yr old female with a history of migraines non responsive to triptans and ant seizure medication..  My recent cervical MRi show a c4-c5 mild herniation without rupture not spressing on nerves and forming a concave deformity of the subarachnoid space.  There is no noted stenosis, or degenerative disorders.  Could this becausing my migraine, neck spasms, and neuralgia on the the occpital area of the head that extends to the right  along the scalp and up behind the ear.  I had a L5-S1 discectomy about 15 yrs ago.

also my mother had OPLL and had cervical spinal fusion.  Could this bea gentic disorder

[Nassim Abi Chahine, MD]

cervical disk herniation can be the cause of your headache, but did you really took all measures before this suspicion? Are you in a continuous stress? Are you totally problems-free, beautifull peaceful life and hard strong personality resistant through life's difficulties?
Servical d herniation can but rarely cause headache, especially if below c3-c4 level...
Did your specialist in headache tried baclofen or escitalopram for example before giving triptans..
Which antiepi he tried? In which doses? And did he ruled out high prolactine level? Low hematocryt, high blood pressure? Sinisitis? Muscular tension versus muscle inflammation?
Most frequent cause in your age is not eye problems but let me know what type at which time how strong do you have it what exams and measures your treater took.