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Porch & Parish

A Migraine That Mimics a Stroke?

Apr 29, 2024 10:22AM ● By Lauren Pope
Picture it: It's dinner time and you're 6 months pregnant. You try to hand your husband a plate and instead...smack it right into the side of his head. "What the heck!?" he responds. You try to explain that your arm suddenly went numb but instead of a coherent sentence, a bunch of gibberish comes out.

Sounds like a stroke, right?  We certainly thought so when that scenario played out for me 13 years ago. 3 days in the ICU and a million tests later, we found out that I wasn't having a stroke or even a TIA. I had a rare type of migraine called a Hemiplegic Migraine that has aura symptoms that mirror a stroke. 

What does that mean, exactly? Well, in my case it was one sided weakness and numbness, inability to clearly speak, and general confusion. The thing that does differentiate it from a stroke though is that I also had the typical visual aura symptoms that some people get from migraines. 

Still, visual aura alone wasn't nearly enough to rule out something more serious. Doctors did very detailed testing including an MRI, MRV, EEGs, and various tests to look for clotting factors that could be indicative a stroke. Basically, it's not something that you on your own can really differentiate from something more serious, you have to go into the hospital to be checked out...at least the first time! 

Here's a helpful chart that explains some of the symptoms:


 The key difference between this and a stroke, other than the fact that lasting damage is very rare, is that you move from the aura stage relatively quickly. All of the confusion, verbal mess, and numbness passes over the course of about an hour and you're left with the traditional migraine symptoms of a painful headache, light and sound sensitivity, and nausea. 

If you've ever seen the video footage of a newscaster suddenly speaking gibberish on-air, you've seen this play out in real time. 

Reporter Serene Branson: Not a Stroke Just a Migraine (02.18.11) (youtube.com)

If you ever experience these type of symptoms, it's very important to immediately seek medical treatment. A neurologist can detangle the root cause and come up with a plan of action. 

Thankfully, in my case I get these very rarely. I've only had three in my life, but, unfortunately, one happened just a few weeks ago. A trip down to OLOL in BR later and I've been cleared once again of anything too serious...just weird migraines that terrify everyone around me. Phew!