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  • How Do Migraine and Stroke Symptoms Differ?
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Ask An Expert

How Do Migraine and Stroke Symptoms Differ?

Nobl Barazangi

Nobl Barazangi, M.D., Ph.D.

Sutter Delta Medical Center

Sutter Lakeside Hospital

Novato Community Hospital

Sutter Santa Rosa Regional Hospital

Sutter Pacific Medical Foundation

California Pacific Medical Center

Question:

Migraine and stroke symptoms seem to overlap. How do I know I'm just having a migraine and not a stroke?

Answer:

Some migraines can be associated with neurological symptoms such as weakness, numbness, tingling, vision and speech changes, and some strokes can be associated with headaches. Therefore, sometimes it is difficult to determine if a patient is having a migraine or a stroke, simply based on the neurological symptoms. Immediate evaluation by a medical professional, and neuroimaging, may be required.

If you have a history of chronic migraines with neurological symptoms that are 'stereotyped' (the same each time), we often recommend that you review these symptoms with a neurologist. They may be able to help you determine what constitutes common migraine symptoms for you, so you can avoid frequent visits to the emergency room.

However, if you are having new or unusual neurological symptoms, or a new severe headache, it is always best to seek immediate medical attention.

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