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Forum Name: Neurology Topics

Question: Basilar Artery Migraine-Steroid treatment


 Starna - Sat Nov 07, 2009 5:51 am

I have been diagnosed with Basilar Artery Migraine (BAM) about 5 years ago. The symptoms included.. severe vertigo, reduced consciousness and slurred speech during an attack, right side (sometimes left instead) of my whole body going numb, walking with a gait, blurred vision and pain in my head. Had a MRI and CT, all clear, I was hospitalised and treated with steriods and instantly the symptoms left. I have since had a relapse about 6 months ago, same deal, in hospital and steriods to the rescue. My current problem is I now have most of symptoms back, without as much dizziness. However I really do not want to be treated with steriods again and wonder why they work anyway? Is there any form of preventive medication I can take? Do you think it is possible that I may have something different then BAM?
 Dr.M.Aroon kamath - Mon Nov 23, 2009 10:52 am

User avatar Hi,
Basilar artery migraine (BAM) is an entity which has been defined variously. Thus,it is usually the experienced neurologists who would be in a position to diagnose a 'complicated' or 'complex' migraine such as BAM.

Some drugs have been tried in the prophylaxis of BAM, such as...
- Topiramate and
- Lamotrigine.

Apart from pharmacological therapy, other modalities have been reported (in some studies) to be beneficial, such as "Biofeedback" techniques, specifically, fingertip warming.

As far as your management is concerned, your doctor would be in the best position to guide you.
Best wishes!

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