I'm starting to think my migraine doesn't exisit.
After a podiatrist diagnosed my foot and toe numbness as a localized mortons nueroma due to high arches and narrow shoes, I'm beginning to doubt that I even have migraine, since the foot numbness was one of the key symptoms making me "think" it was migraine. Maybe my dizziness is actually psychogenic or some conditioned response to a series of "attacks" I had in early December, during a week of high stress and emotional turmoil at work, that basically has put my mind and body into permanent "fight or flight" mode. Looking back at the attacks, I initially thought they were occular migraine events, but the nature of my "aura" was a symmetrical strobing in my peripheral vision of both eyes and it did NOT have that one-sided blobby amoeba sensation that most people associate with aura.
Now I'm thinking these attacks were "panic attacks". I'm starting to think its not migraine because I never had a one-sided headache or nausea or even rotational vertigo the entire past 6 months. Lately the dizziness is very situational and visually triggered, like it's triggered a lot by restaurants, like there's some hormone response to eating, weird lighting and over-stimulation of motion, and then once I acclimate after 20 minutes, it settles down. Or even leaving the dizziness-triggering setting, often by going into a scenario with calmer and more even lighting, causes dizziness to simmer down. Any sort of optic flow situation with lateral motion is a problem. Like walking through a subway concourse with people darting ACROSS my path. But my dizziness is also chronic and can be activated at any point by any situation if the problematic stimuli are present...but then it also resolves quickly.
The only weird thing is my chronic light sensitivity seems to overlap with Migraine symptoms, but I guess I've noticed my vision has been "enhanced" for a couple months now, like my contrast perception and after image perception is abnormally noticeable. This could also be related to being in a permanent "fight or flight" mode
I initially thought the weather was a trigger, but this might also be psychological, because there have been times when a quick rainstorm dropped in by surprise and it didn't affect me because I was distracted by some engaging social activity or fun project.
My neurologist seems un-interested in the "neurological effects" of generalized anxiety. He also seemed to take my "Migraine" symptoms at face value and not question them too much beyond some generalizations. So what's the best way clinically to parse out whether I'm having migraine or anxiety related imbalance? See a psychiatrist?
Depending on which scenario it is, I think the treatment would be different. For anxiety related dizziness, probably a combination of benzos, SSRIs, exercise and CBT would do the trick, For Migraine, restricted diet and a more "relaxed" lifestyle regimen plus TCAs or Topomax would be the treatment.
Anyway, how do you all suggest I determine whether its MAV or CSD?