A friend was recently hospitalized with severe migraines. Prior to her hospitalization, she also experienced hallucinations, probably as a side-effect of her medication. While in the hospital, neurologists performed a variety of tests, including an EEG and an MRI, which ruled out brain tumors and aneurysms. A consultant who was called in diagnosed her with confusional migraines. What are confusional migraines? Is there anything that can be done to prevent their recurrence? What are the usual treatment options? Where could she, her family, and friends find more information about this topic? Thank you.
Confusional Migraines is a confusional state that occurs as part of a migraine attack in approximatly 5% of people with migraines. The confusion is characterized by inattention, distracibility, and difficulty maintaining speech and motor activities. The confusion can last 10 minutes to 20 hours, usually terminating in deep sleep. The symptoms of disorientation and agitation can be misinterpreted if a headache is not part of the usual picture. Attacks are occasionly triggered by blows to the head. Single attacks are most common , and multiple attacks are rare. Because the chance for reoccurance is low, it would be best to address the underlying migriane disorder (if headaches are occuring multiple times a month-prophalctic medication suchas beta blockers, calcium channel blockers or tricyclics should be initiated. For abortive therapy, Midrin, imitrex, and zomig can be used). Discuss these options with your doctor. If you are interested in getting an evaluation at CCF, call 1-800-CCF-CARE. Good Luck.
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