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What Causes Migraine And Dizziness?

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Posted on Fri, 24 Oct 2014
Question: Can migraine headache in teenagers manifest as headache, dizziness, blurred vision? Is it common for these symptoms to last more than 24 hours? Is it common for the symptioms to subside in the evening and return in the morning?
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Answered by Dr. Rahul Tawde (1 hour later)
Brief Answer:
Possible manifestations mentioned below

Detailed Answer:
Hi, thanks for posting the concern in the HCM.
The answer to all of your questions is yes.

Firstly, regarding the manifestation, I would say that migraine classically presents with throbbing or pulsatile headache (although non-throbbing pain occurs in 50% of the patients), initially unilateral, localized in frontotemporal (by the forehead and side of the head) and ocular (around eye) area, build up over 1-2 hrs and become diffuse. It can last for 4-72 hrs. (mostly more than 24 hrs). Nausea and vomiting are associated with the headache in more than half of the patients. Alongwith this, photophobia, blurring of vision, confusion, dizziness, visual disturbances like field defect, even complete blindness can occur. So, the answer to your first and second question is affirmative.

Secondly, the symptoms can subside in the evening, particularly in dark or low light environment. A silent dark room is the ideal place for rest of a patient with migraine headache. So, in daylight there would be aggravation of the symptoms and problems with photophobia.

Now that you have got your answer, I would suggest you to take the patient to a local neurologist, who would confirm the diagnosis and also specify the type of migraine and guide you with further treatment-management.

For any other query, please write back.
Regards,
Dr. Kaushik Sarkar
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Rahul Tawde

General & Family Physician

Practicing since :1980

Answered : 1 Question

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What Causes Migraine And Dizziness?

Brief Answer: Possible manifestations mentioned below Detailed Answer: Hi, thanks for posting the concern in the HCM. The answer to all of your questions is yes. Firstly, regarding the manifestation, I would say that migraine classically presents with throbbing or pulsatile headache (although non-throbbing pain occurs in 50% of the patients), initially unilateral, localized in frontotemporal (by the forehead and side of the head) and ocular (around eye) area, build up over 1-2 hrs and become diffuse. It can last for 4-72 hrs. (mostly more than 24 hrs). Nausea and vomiting are associated with the headache in more than half of the patients. Alongwith this, photophobia, blurring of vision, confusion, dizziness, visual disturbances like field defect, even complete blindness can occur. So, the answer to your first and second question is affirmative. Secondly, the symptoms can subside in the evening, particularly in dark or low light environment. A silent dark room is the ideal place for rest of a patient with migraine headache. So, in daylight there would be aggravation of the symptoms and problems with photophobia. Now that you have got your answer, I would suggest you to take the patient to a local neurologist, who would confirm the diagnosis and also specify the type of migraine and guide you with further treatment-management. For any other query, please write back. Regards, Dr. Kaushik Sarkar