My Wife Is 85yrs Old She Has Had Migraines For

Brief Answer:
Involuntary movements warrant examinations to identify the cause- details below

Detailed Answer:
Hello and welcome to "Ask a Doctor" service,

I carefully read your query and I understand your concern with intractable headaches and involuntary movements.

Because your wife is developing new symptoms (involuntary movements) it is important that she has a thorough neurological examination. If abnormalities are noticed in the neurological exam the doctor may require brain MRI. An EEG may be indicated as well to evaluate the electrical waves of the brain.
Aimovig may cause muscle cramps and spasms, you may need to discuss with your doctor on the chance that it may make these movements worse.

Some blood tests such as TSH, CBC, ERS, fasting glucose, liver tests (ALT, AST, albumin in the blood), kidney function (creatinine and electrolytes), urinalysis, etc, may be indicated to make sure these are normal.

According to the findings, the doctor will decide on treatment. If a certain cause is identified, treatment should be directed towards it. If no specific cause is identified, involuntary movements may be treated with carbamazepine, which in some cases may help prevent migraine headaches as well.

I hope this answers your query. I remain at your disposal in case further medical assistance is needed.

Regards,
Dr. Antoneta Zotaj,
General and Family Physician

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