Migraine accompaniments may consist of visual symptoms such as transient blindness, homonymous hemianopsia, and blurring of vision; paresthesias, a heavy feeling in an extremity like an arm or leg; brainstem and cerebellar dysfunction such as ataxia, hearing loss, tinnitus (ringing in ears), vertigo (sense of room spinning), syncope (loss of consciousness); and disturbances of speech, such as dysarthria (slurred speech) or aphasia (loss of ability to speak). They may come in succession.
These symptoms can also be seen in strokes, transient ischemic attacks (TIAs), or some types of seizures, so the doctor will run tests to be sure of the cause.
If the episodes are frequent, preventive treatment can be considered with medications such as divalproex sodium (Depakote, Depakene), topiramate (Qudexy XR, Topamax, Trokendi XR), metoprolol (Lopresor, Toprol XL), or propranolol (Inderal LA, InnoPran XL). Your doctor will talk to you about the best options for treating acute symptoms.
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