These are called complex, opthalmapaligic migraines. Mayo clinic has been doing clinical trials regarding these types of migraines. Some theorys suggest the invovlement of the third cranial nerve. Noise, stress, bright light, food among other things can trigger an eppisode. Slurred speech, tunnel vision, black spots, neruo. Defificit, can be some of the symptoms experienced. Feeling extreemly tired afterward is commmon. These types of migraines can be a precursor for a stroke. Some physicians prescrib antiseizure medication successfully for this condition.
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