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You may have a disorder known as migraine variant. Patients with this disorder complain of migraine aura but WITHOUT the headache, as well as neurological deficits such as weakness, slurred speech, dizziness, numbness in parts of the body, or visual changes.
Migraine variant is thought to be caused by abnormalities involving certain brain blood vessels. MRI and EEG findings are usually normal. The diagnosis is made based on your symptoms.
There is a variety of treatment options for patients with migraine variant. We usually recommend using medications for blood pressure such as metoprolol, which helps to relax blood vessels in the brain.
I hope this answers your question.
Yes. This level of blood pressure can cause symptoms of fatigue and dizziness, and can certainly affect your ability to work.