Brief Answer:
Acephalgic migraine

Detailed Answer:
Thank you for your question and I'm very sorry you are dealing with these symptoms. If you've had migraine headaches in the past meaning in your 20's or 30's which then, went away after the menopause as so many women are told they do only to "half" return now as symptoms of migraine but WITHOUT THE HEADACHE then, you may very well have found the phenomenon of ACEPHALGIC MIGRAINE or as it is also referred to ABORTED MIGRAINE, or to use your vernacular "all the symptoms of a migraine but I don't get the headache."

The neurologist was correct in the sense that migraine headache epidemiology actually follows a population distribution curve which is referred to as BIMODAL. In other words, there are TWO PEAKS to this distribution curve in terms of # of people who get migraine headaches when you compare age categories. The first BIG SPIKE in the curve is between the mid twenties and mid 30's. Then, the prevalence and incidence seems to diminish to very low levels very quickly by the mid-40's and then, into the early to mid 50's...plummets even further....Blessed menopause comes on and all the poor migraineurs from before have been told.....that you're free and clear of the demon.....BUT THEY FORGOT about the 2nd MODAL PEAK which begins just beyond the age of 65 and reaches a peak around the early to mid 70's and climbs to almost the same levels as in youth.....it then, starts to decrease again over the next decade to low baseline numbers until death.

What your neurologist, however, did not seem to tell you was that even though you're NOT having the headache.....if you are having the SYMPTOMS as you describe then, there is vascular compromise going on in the posterior circulation of the brain which places you at elevated risk for strokes.

Therefore, current recommendations and guidelines strongly suggest that patients with ACEPHALGIC MIGRAINE with aura....being aggressively treated as if they were suffering from the painful component. Therefore, you need to find a neurologist knowledgeable about this newer (but not brand new by any means) data who is comfortable in treating the symptoms and determining whether or not you should be placed on prophylactic therapy (preventative).

If I've adequately answered your questions could you do me a huge favor by CLOSING THE QUERY and being sure to include some fine words of feedback along with a 5 STAR rating if you feel my answers/suggestions have helped? Again, many thanks for posing your questions and please let me know how things turn out.

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This query has utilized a total of 23 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.

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