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A migraine that causes paralysis in one side of the body is called a hemiplegic migraine. There are two kinds: Familial, where you'll have a family history, and sporadic - which can happen to anyone. It becomes very important to get the proper diagnosis of hemiplegic migraine, because if you have this particular kind of migraine you cannot use vasoconstricting medications such as the triptans (Imitrex, Zomig, etc..) or DHE (Dihydroergotamine, also found in Migranal nasal spray.) Normal migraines with aura can also cause numbness and confusion, but they will not cause the paralysis. One of the main forms of prevention for hemiplegic migraines are the calcium-channel blockers, as there may be a faulty gene responsible for the disruption of calcium in the cell, causing neurons to misfire. Verapamil is the only calcium-channel blocker approved for migraine prophylaxis at this time. Generally these medications will be paired with anti-epileptic medications such as Topamax or Zonegran. If you do have hemiplegic migraines, you should be under the care of a headache specialist.

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Q: What are migraines with paralysis?
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