McMonkey,

Your situation sounds familiar. I have accumulated too many insults to my brain. You said "The migraines have subsided, but my speech, cognition, short term memory and fatigue still cause me issues." The migraines lessening hopefully will allow you to learn the many work-arounds and accommodations for dealing with the cognitive issues. Learning to moderate stress and stop to think will be your most important skill.

Tell us more about how you manifest your neurological symptoms. We can then share our tips for dealing with them.

When you get the neck MRI, ask if they can do a series with your head turned sharply to the right and left. The straight position of a normal cervical MRI can mask the instability of C-1 to occiput (base of the skull).

Tell us more and we will try to help.

My best to you.