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Hello. Welcome to JA. I will reply after review of your statement. Dr Frank
Hello. Oculocephalic migraine, otherwise known as cluster headache has some stereotypic features.
It happens only in men and can have sinus symptoms as the trigger for the cluster event. There is a genetic predisposition, so it runs in male members of families. One interesting way to treat is to attack the trigger specifically
which you have done by moving to florida. Another way is to abort the trigger, if it is nasal symptoms which incite the autonomic nervous system in the sinus area. Using viscous 2% lidocaine gel on a long qtip has been found to stop the attacks. Cluster is a severe migraine with major vasoconstrictive features on the cerebral meningeal vessels during the attack. It can cause ischemic changes, almost a stroke like condition to the brain. And brain MRI will reveal punctate T2 weighted lesions in the corona semiovalis area of the brain in cluster. Studies have shown that stroke risk over the lifetime of a migraine patient is higher than demographically balanced control populations.
So there is a possibility that cognitive impairment did result from years of cluster headache. You could measure that quantitatively by doing neurocognitive assessments with a behavioural psychologist. It is called neuropsychometric testing. But I don't understand your statement about the $250-600 charge? what is that for? What supplements are you speaking about? I will try to help after your response. Dr Frank