monthly migraines at age 64

by Arlene
(Rochester, New York USA)

I am a 64 yr. old female who has been suffering monthly migraines( with aura) for 26 yrs now.
I had a few when I was a child, then when I got my periods they stopped, only to re-appear while I was carrying my 3rd child, and have continued ever since.
Years ago they thought they saw a micro-adenoma on pituitary.(MRI) One endocrinologist said it was probably an FSH producing one.(thought that was the reason for my pre-mature ovarian failure)
A few radioloigists have not been sure it is there.
Yet, my symptoms that brought me to my first MRI, when they saw,it persists.
Funny thing that I have noticed and a few others is, my face changes several days before those migraines.
My eyes and mouth look different. More youthful...I swear there is some hormone secretion taking place here.( yes, still at 64?)
I am at my wit's end as my present Neurolgist doesn't seem to recgonize this micro-adenoma.
I havent had an MRI with contrast in over 5 years now.
I feel hopelessly at the mercy of those migraine/cluster as Neuro has labeled them.
Glad when they are over....but live in fear of the next.
Please help.
Thank you.


Hi Arlene,

Well I am glad you live close by! We see patients from Erie all the way to Albany and Watertown.

I would be happy to see you and Dr. Mechtler is a board certified neuro-imaging expert. In fact he is now President of the American Academy of Neuro-imaging so I would recommend you bring your MRI films to him and let him take a look.

After that, options for your migraines depends on the frequency and severity of them at the present time. If a patient over the age of 60 does not have any conditions that prevent use of a triptan for migraine, he does prescribe them.

We also have a full infusion center for treatment of migraines in addition to a CT scanner and 2 (!) MRI machines. One of them in particular gets really good images of the pituitary.

Contact your insurance company and see if they will let you come to Dent Neurologic Institute. If your neurologist is not a board certified headache specialist, then the insurance company may allow it.

Your story is not unlike what we see daily. You can reach us at 716-250-2000 and be sure to use my name to see Dr. Mechtler.

Good luck,
Mary Kay Betz MS RPA-C

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