Complex migraine, is often used interchangeably with migraine variants or complicated migraine
, defined syndromes associated with episodic, transient, and reversible neurologic dysfunction.
In contrast, the symptoms of complicated migraine or partial seizures often evolve in what neurologists call 'the Jacksonian march,' starting in one part of the body and then gradually spreading.
Complicated migraine is migraine with focal neurologic symptoms: weakness, tingling, or numbness on one side of the body or the other that can precede, accompany, or follow the actual headache.
Thus, a patient who presents with what looks like complicated migraine but no history of migraine is much more likely to have TIA/stroke.
syndromes and migraine variants.
Migraine with aura was present in 3 patients in whom it was also the first symptom of the disorder; complicated migraine
occurred in 1 patient (case 2); case 3 reported a severe migraine, which was followed by clouding of consciousness and amnesia--an episode difficult to distinguish from an ischaemic event.
The symptoms persisted for several hours, and he received the diagnosis of complicated migraine
at a local emergency department.
Genetic research, however, has already identified familial hemiplegic migraine, a rare form of complicated migraine
, to be caused by a genetic defect on chromosome 19, one of the 26 strands of DNA in human cells.
For example, while the psychiatrist provides pharmacotherapy, one therapist might provide group dialectical-behavior therapy, another therapist might provide individual therapy, a neurologist might treat the patient's complicated migraines
, and a primary care physician or specialist might treat the patient's chronic fibromyalgia pain.