I don't have much experience with many of your symptoms but I do have a few thoughts. Regarding the subject of your post (whether hemiplegic and basilar migraines can coexist), according to the IHS both types of hemiplegic migraine (familial and sporadic) "very often [have] basilar-type symptoms in addition to the typical aura symptoms." Apparently basilar symptoms accompany FHM (familial hemiplegic migraine) about
60% of the time. In that case, however, basilar-type migraine is categorized as FHM or SHM (sporadic) if motor weakness occurs. So the combination of hemiplegic migraine and basilar-type migraine symptoms is not uncommon.
More importantly, though, your symptoms are not
consistent with the diagnostic criteria for hemiplegic migraine (but there are exceptions). The two main reasons for this are:
1) Hemiplegic migraine is typically accompanied by hemiparesis
, impaired motor control of one arm and one leg on one side of the body. But you report tetraplegia
, full loss of motor control of all four limbs. From my limited
knowledge of this topic this symptom seems
to rule out hemiplegic migraine.
2) Sensory or motor symptoms of HM are "fully reversible" and your hearing loss is not. However, your hearing loss may be unrelated to your other symptoms or maybe caused by some underlying condition that is causing them separately.
Now with HM having imaging studies (MRI, CT, etc) is very important. Even if you don't have HM your symptoms make this equally important. Considering the wide range of sensory and motor impairments that you're experiencing it is very important that you rule out more serious disorders. Honestly that's the best advice I can give you: make sure that you're thoroughly checked out by a good neurologist. While all of your symptoms may not be directly related to your migraines their presence strongly suggests something more than "migraine with aura" (suggests
being the operative word--it's very important to explore the possibility of more serious conditions, if only for the sake of ruling them out).
Finally, shaking or convulsions are not uncommon with these types of migraines. FHM is actually quite often misdiagnosed as epilepsy. As for your hearing loss I (obviously) really can't say. That's something that needs to be very thoroughly investigated by your neurologist. In my eyes at least your case seems quite atypical which, again, makes it all the more important that you're proactive in investigating it.
Well I wish you the best of luck and I'm sorry I couldn't help more. Please keep us posted as you learn more.
DX: NDPH, Recovered(?) CRPS
RX: Lamictal, Namenda, Wellbutrin XL, Oxycodone, Oxycontin, Concerta (Methylphenidate), Clonazepam, Rozerem, Magnesium (1200 mg/d), Riboflavin (400 mg/d).
PRN: Ketamine nasal spray
, Toradol IM, Celebrex, Haloperidol, Lodine, Zofran, Phenergan, Ambien CR
rarely: Migranal, Thorazine, DHE IM, Droperidol IM, Reglan, Provigil, triptans (Imitrex, Maxalt, Relpax, Zomig, Axert, Amerge)I can be contacted personally via email at korbnep:email@example.com.
Post Edited (korbnep) : 9/26/2009 9:58:26 AM (GMT-6)