Should you be concerned about confusion and hallucinations after a migraine headache?

Answer 1

Anytime you are having neurological symptoms that you haven't had with your usual migraines, you need to contact your doctor immediately. In the case of confusion and hallucinations, when not experienced before, you doctor may send you to the ER. This is something you may want to do even if you don't contact your doctor.

Yes, it is possible to become confused and experience visual disturbances with migraine. Other hallucinations, such as people talking to you, seeing strange things (not patterns, but people, animals, or objects), smelling a smell that isn't there - are not a common occurrence.

Besides other things which can happen, the main concern is a stroke. The longer you wait to take action after a stroke, the more brain cells can be lost.

You do want to ask yourself if you have started any new preventative migraine medications (or any other medications for other things, such as high blood pressure or psychiatric medications) or increased the dose, or have taken two of the medications together for the first time (eg: You've been on Fioricet, you've been on Flexeril - you've never been on them together at the same time). Some of these medications can cause that kind of reaction.