My 56 year old wife has had spells for at least 10 years and after normal MRIs of the brain her neurologist diagnosed her with basilar migraines. She does NOT get headaches, but with her spells she starts acting intoxicated, slurred speech, unsteady gait, etc. During the worst attacks this progresses to the point where she is totally paralyzed, can't speak at all, can't control her arms, legs, or even her face. These usually proceed to her going to sleep, snoring for an hour or so then gradually improves. These attacks are usually monthly, a very bad attack, then the next day not so bad, and has symptoms for about a week. Then she is totally normal for maybe 3 weeks.
She had tried some medications and none have helped. Seems like fatigue triggers the attacks, they can be especially bad when she has been outside working in the flower beds, or mowing. I can tell she is impaired in her speech and mannerisms, then she will sit down for supper in her recliner to eat off a tray. I look over and she is totally locked up and can't eat.
Tonight she is having a terrible attack, something new was she would purse her lips and blow, would not even squeeze my hand or acknowledge me at all. VERY scary. Right now she is asleep in her chair, snoring. I wonder sometimes if this is going to proceed to a stroke - how would I know the difference?
I am very concerned of course, as I understand that these migraines could lead to strokes. She is seeing a regular neurologist, if anyone knows of a migraine specialist in the Dallas area, I'd like for her to see one.
This is very disabling, I wish there was something that could be done about it. We can't go to the ER every month, but I always wonder if this is a stroke and not a migraine attack.