Answers to Common Headache Questions

Premier Health providers answer frequently asked questions about headaches.

A migraine with aura and a stroke have similar symptoms. When should you be concerned?

Dr. Richard Kim discusses the similar symptoms of migraine with aura and stroke. Click play to watch the video or read the transcript.

A migraine with aura and a stroke have similar symptoms. When should you be concerned?

Migraine aura symptoms can be scary because they can mimic symptoms of a stroke. Patients can get with a migraine visual symptoms, sensory symptoms like numbness and tingling, speech symptoms, and even weakness. And this can also be stroke symptoms. How to tell the difference can be difficult, but typically with migraine aura, symptoms develop gradually over time over at least five minutes, whereas with a stroke, they are usually more sudden in onset. And typically with migraine with aura, you get the same symptoms multiple times, whereas with stroke its usually your first occurrence.

So if you have new neurologic symptoms that you've never had before, that would be concerning and I would get that evaluated in case it is a stroke.

   

Migraine aura symptoms can be scary because they can mimic stroke symptoms. Patients with migraine can get visual symptoms, sensory symptoms like numbness and tingling, speech symptoms and even weakness. These can also be stroke symptoms. Telling the difference between the two can be difficult. Aura symptoms with migraine typically develop gradually over time (at least five minutes). Stroke symptoms usually are sudden in onset. If you have migraine with aura, you get the same symptoms multiple times, whereas with a stroke it is usually a first occurrence.

If you have new neurologic symptoms that you've never had before, you should be evaluated for stroke.

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Source: Richard Kim, MD, The Clinical Neuroscience Institute; Aaron Block, MD, Franklin Family Practice

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