Diagnosed With Occular Migraine. Having Auditory Hallucinations And Headache. Looking For Proper Diagnosis
Thank you for posting your query. I must add that you have given a detailed and excellent description of your symptoms, which is quite helpful.
I know how frustrating it feels for you in the absence of a clear cut diagnosis.
The fact that you have migraine is clear and Topiramate seems to be helping you with that.
However, your current symptoms are suggestive of auditory hallucinations (hearing something which others in the same place can not hear).
I should add here that in your case, Topiramate seems to be the most likely cause of these auditory hallucinations. I have seen a few cases and there are a few instances reported in the literature too.
So, I would suggest you to stop Topiramate and I expect you to completely recover from these disturbing hallucinations.
Regarding migraine treatment, you can go for some other drug such as divalproex sodium or even Botox injections.
I hope it helps. Please get back if you have any more queries.
Best wishes,
Dr Sudhir Kumar Md DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Thank you for getting back with more details.
I wish to reassure you that there is no possibility of missing anything serious, as your MRI brain and neck are normal.
As I mentioned, the auditory hallucinations are part of Topiramate side effects, and these are due to chemical changes in the brain. So, most tests can not pick this. However, if you are very interested in confirming this by a test, then PET (positron emission tomography) of the brain, especially if it is performed when you are having those symptoms would be useful.
I hope it clarifies. Please get back if you require any additional help/information.
Wishing you good health,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist