Okay, give me a minute and let me type out a response. Thanks.
But first, you said, "A scary occurrence that is usually itch out infarction after." What do you mean by that?
Have you seen a neurologist who has diagnosed you with migraines or is this a conclusion you have come to on your own? When this started happening in your LEFT eye two weeks ago, did you cover your right eye to see if it was only in your left? Did you also cover your left eye to see if it would go away? Or did this just appear to be in the left side of your visual field?
So is this happening constantly in the left eye, or does this come and go?
Does the spot in the central vision have this jagged/electrical type flashing associated with it?
But how long will this stay there?
And this comes and goes independently of the aura in the superior part of the visual field which also comes and goes, but which has the flashes that are similar to your auras in the other eye and in the past, is that correct?
When was the last time you saw your neurologist?
Okay, let me say that there are two factors about your migraines that make them unusual and different from garden variety migraines. Number one, you seem to have symptoms in one eye at a time (usually migraines are seen predominantly in one visual field, but not necessarily in one eye, only at a time). This suggests a retinal migraine. This is further made unique by the fact that you suffer from stroke-like symptoms in conjunction with your migraines (difficulty speaking, numbness) which are not normal for migraines. This makes your migraines what are called "complicated migraines." The neurologist workup to include the MRI in 2007 was appropriate. The fact that your retina surgeon stated everything looked good is a positive development. I suspect that this is just a development or change in your migraines, which is not uncommon at all for migraine sufferers. Some migraineurs can have a complete change in the quality/character of their migraines at any point in their life. Many stop having them altogether for several decades, and then--poof--they are back and totally different. So in this respect, I think this is just a change in the character of your migraines. However...
However, because you have retinal AND complicated migraines, you are not typical. This puts me at further ill ease counseling you to just "observe" this. I would recommend, at the very least, calling your neurologist and informing him/her of this change in your symptoms and getting their advice. I would be very hesitant to tell you just to sit on this, even though it's likely just a change in the migraine character, because of the possibility that this represents something other than just migraines. Does this make sense?
I have to step away from my desk for 10 minutes or so. I promise I will be back to finish our conversation, though. However, if you are satisfied with our conversation and have no further questions...
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Okay, sorry for my absence. The other thing I worry about, that could possibly be causing these symptoms is a stroke--again, I stress this is quite unlikely, but not impossible (even in someone as young as you). I would recommend NO obsessing or worrying about this. I just think the call to the neurologist's office is the complete thing to do to make sure they also feel the same way as I do. While I see many a migraine patient, the neurologist is really the specialist that is best equipped to manage migraines (and strokes, for that matter).
Hi just to update you since the other day. The initial visual problem I had contacted you about seems to be about the same and maybe a little bit better. However, there is now a small spot in the central vision of my left eye (same eye as the initial eye) that also comes and goes. Very similar to my aura starts of the past. Not sure if this should change the initial course of action you advised me of?