Cva, Tia Or Migrane

  1. ok people I am hoping somebody can enlighten me.
    2 years ago my wife suffered a right CVA at 29 yrs of age.
    Yesterday morning after waking she suddenly lost all feeling and function in her left side, left side of her mouth dropped and speech became slurred.
    My first reaction was another CVA.
    Got her to the hospital and after about 3 hours, symptoms started to abate, so I thought ok, maybe just a TIA, or possibly still mild CVA.
    Intern Doctor rings me this morning to advise that in his opinion, she has suffered from nothing more than a migraine??????
    Has anybody else come across people suffering these type of symptoms from a migraine or am I perhaps right in thinking blood clot, be it TIA or CVA.
    Last edit by scrubs70 on Apr 21, '03
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  2. 21 Comments

  3. by   kmchugh
    How well do you know this Internalist? I have not heard of migraines causing the symptoms you describe, but then I don't deal much with migraines.

    I think in any event, given your wife's history, I'd be looking for a second opinion.

    Kevin McHugh
  4. by   debi87021
    Originally posted by kmchugh
    How well do you know this Internalist? I have not heard of migraines causing the symptoms you describe, but then I don't deal much with migraines.

    I think in any event, given your wife's history, I'd be looking for a second opinion.

    Kevin McHugh
    MUCH MUCH agreed. I work ER, see many with migraines. NEVER once with hemiparisis. Obviously sounds more like TIA, but that is as one nurse to another. I would seek second opinion.
  5. by   jenac
    I agree- get a second opinon. If for no other reason than just d/t history. It sounds like a TIA-the symptoms and the rapid recovery. Be on the safe(er) side-get the second opinon. If he was right- great. If not- good catch.
  6. by   scrubs70
    thanks for replies folks, it certainly seemed strange so I have called doctor and insisted on MRI scan of brain and have asked to have a referral to a specialist
  7. by   Tweety
    Complicated migraines can mimic CVAs. I've seen that diagnosed in several patients. First thought is a CVA of course, they would work the patient up for CVA then if no CVA is found consider migraine based on symptoms, history, etc. I can remember patients with left sided facial droop and numbness. Typical stroke right? Not necessarily.

    Put "complicated migraine" into a search engine, as well as "hemiplegic migraine" and see what you get.

    Here's one article I found.

    http://www.achenet.org/kids/hemi.php
  8. by   pickledpepperRN
    I get migraines so have read all I could find about them. I also read about such symptoms. (Imitrex is a miracle for mine).

    That said I would do as you and your wife are doing. See a neurologist and have an MRI, CT, any possible test recommended.
    My family pradtice sent me for testing at age 42 years afterthe migraine diagnosis. Made me feel better, except for the cost (HMO would not pay because the result was negative.)
  9. by   jemb
    Even if migraine is a possibility, it just seems prudent to do more of a work-up with her history of CVA. I'm glad you're following up with a specialist referral. Please let us know how she is doing.
  10. by   Shamrock
    Several years ago I was putting in some low voltage lighting at our lake home. While reading the directions I could recognize syllables, but putting the syllables together to make words, I could not make sense of the directions. Upon looking out at the scenery out side it had the appearance of the signs which have panels that turn to make different pictures or messages. No drooping of mouth, or weakness of one side, but it sure scared the B.Jesus out of me. I went in to see the doctor and he said I had experienced an "Atypical Migraine" I thought he was full of bull because it sure seemed what I had been taught resembled TIAs. Now I don't know. No further episodes have occured. MoJoe RN,C
  11. by   scrubs70
    thankyou everyone for your valued input.
    MRI will be conducted today so I will keep you informed
    thanks for the link tweety it was most informative
  12. by   Flynurse
    I had a supervisor whose wife (working as Nurse administrator in another hospital) suffered from the very similar symptoms, only they first thought it was an MI d/t sweating, pain/weakness on her right side, etc. But all tests were negative and the conclusion was that she was only having a migraine. She since has had no residual symptoms or affects.

    But I agree with everyone else...Get a SECOND opinion.

  13. by   RyanRN
    Just had a bout with a 3 day migraine so I was surfing WEBMD.com and found this information (never heard it before either). Hope it helps.

    "Rare migraine conditions include these types of neurological auras:

    Hemiplegic migraine: temporary paralysis (hemiplegia) or nerve or sensory changes on one side of the body (such as muscle weakness). The onset of the headache may be associated with temporary numbness, dizziness, or vision changes. " WEBMD.COM
  14. by   JudithL_in_NH
    I have very occasionally suffered from what my doc calls "classic" migraines . . . they do mimic stroke symptoms: hemiplegia, aphasia, etc.

    They were very scary for me (my mother has suffered repeated strokes) until I had a couple and realized the symptoms would subside in several hours. I had my first at 28 while on BCPs--docs at that time thought they it was due to the BCPs. I have also had them while lactating with each of my children; now that my youngest is nine, it's been a good seven years since I've had one.

    I've also read about "familial hemiplegic" migraines which seem to have the same symptoms. But my PCP and the neuologists always referred to mine as "classic." After my first, I insisted on a neuro workup.

    Hope it all works out for your wife.

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