Yes, Stretchismyname
I had this symptom you are describing, the one with the zigzag light in one eye, 3 or four time.
I will describe my symptom the fallowing way: I had had headaches on and off for some months, but never went to the doctor for it, and was never diagnosed with Migrane headache. I had also had 2 episodes of vertigo, described as the ceiling moving above me.
One day I noticed a visual disturbance in my vision in the left eye. I had a ring of zigzag bright light on the outer aspect of my left eye visual field. I could see through the hole in the middle of it. Mine also lasted about 20 - 30 minutes. The second time I had it, I noticed the ring got bigger and bigger and finally dissapeared out towards the left of the visual field.
I went to my opthomologist. He added up the symptoms and sent me for a stat MRI of the brain, and called me later with the result. I had a cerebral aneurysm, and he already had called a neurologist for me.
Now, this aneurysm was noticed only incidentially, so I was glad it had been noticed in time( it did not rupture) and I had the aneurysm emboliced in time. It could have been there for some time.( they are often asymptomatic)
So this probably had nothing to do with the aneurysm part. BUT.----I was now told that this symptom with the visual disturbance was MIGRANE AURA. I went to a neuro opthomologist who told me that one can have this AURA MIGRANE without actual pain. He said this is calle a ancephalic migrane.
I have since had migrane in the form of a sharp, short lasting ICE PICK pain
that comes and goes. When it comes, it is momentary only and then comes back with another "jolt" in an hour or so, and then goes on for the day and goes away for a while. Weeks at the time. No medicine has helped me.
Until now< I have developed Neuropathy, and the neurologist has put me on Amitripthyline for the nerve pain. He said it would also help the migrane.
But I have now a multiple multiple magnification of prior headache, and I am awaiting further medical help and diagnosis.

I am now wondering, and I will try to research this, if, and what is the connection between Migrane/cerebral aneurysm/vasculitis/hypertension ???

Does any one have any experience in theese combined/related?? conditions??

Thanks for reading.

I have pretty bad migraines for years now, but so far none of the others you mention. XX
My BP (unless I have a migraine) is always in the lower end of normal.

relation of migraine to cerebral aneurysm

relation of migraine to vasculitis

relation of migraine to hypertension

You might also try the same searches on goggle scholar.

Doc

Dr. Smith
Thanks for the hint regarding the google search, and thanks for the links.
I have found that usually there is not much suggestion of relation between migrane and hypertension.
I found that there is relations between migrane and cerebral aneurysm. This presents with an increased headaches with aura before a rupture of an aneurysm.
But, from what I understand, migrane does not cause aneurysm.
Aneurysm is usually a cogenital condition of the vessels. (By the way, aneurysm is also familial) Family members of aneurysm patient, should be screened.
So, I guess, a person who has both, could have an exacerbation of migrane before a rupture of an aneurysm?
Then, should people with migrane go through the screening?
There definetly is relations between vasculitis and aneurysm, and that is obvious, vasculitis being a disease of the vessels, and could cause weakening in the wall.

I read the links posted here for Migrane profelaxes.
I am not so familiar with the new first line drugs like Maxalt and Divalproex.

But I am familiar regarding other first line like antidepressant like Amitripthyline . Also Betablocker, Propanolol.
I also see that Calcium Chanal Blocker is good as a second line of defence for migrane.
Dr. Smith, I used to be on Toprol for hypertension, but I was taken off a year ago due to the BP had become low ( probably due to starting on Amitripthyline and Lyrica)
Now I am having exacerbation of headache, and my BP is high.
I was given high dose of Steroid, due to flare up of vasculitis, so that has helped the headache but not the BP. I think something else might be going on. I am going to see my cardiologist. I think he should do a echocardiogram. Perhaps I should get back on Toprol.

I don't know. I have no family history of aneurysm. My migraines were chronic (more then 15/month) at their worst, and screening for aneurysm was never mentioned.

Neither Maxalt (rhizotriptan) nor Depakote (divalproex) are exactly new; both are old enough to be out of patent and available generically. AFAIK, Depakote is sometimes used prophylactically for migraine, however Maxalt is an abortive.

It sounds to me like you might want to have an updated discussion with a migraine specialist (not just a neurologist who says they can treat migraine) on treatment options, and formulate a plan for you that takes into account your medical history and individual needs, which may include one or more of preventative, abortive and/or rescue medication.

Preventive, Abortive, and Rescue Medications - What's the Difference?

Migraine Headache Treatment & Management

Doc

Dr. Smith
Yes, I agree. I am looking for a headache doctor. The problem is that today in modern medicine, all the medical specialties are again devided into sub specialties, and one can be running around for ever. One can actually be dead before any diagnosis is found. I do not trust doctors. I am always cautious. And I do not take their word for things right away. I have too many bad experiences.
Doctors often like to see you come to the office, and they find nothing wrong at the time, just " fallow up" next time. So that they just can have a constant revenew coming in for their cash flow .
You know the old saying " see no eveil, hear no evil" ???
What you do not know, you are not responsible for.
The first time I went to a specialist that I thought specializing in migrane( which I had been told I had, migrane without pain, only now, 2 years later, I have migrane WITH pain), this doctor comfirmed that I had it and said "
Enjoy the fire works!"
( meaning the bright light flashing before your vision)

Seriously,: I am looking to get a good referal from a doctor to recomend me to a headache specialist.

I will tell you. I make up my own theories, and then I ask the doctor for the tests. because they need this little push some times.
I still have no answers to electrofyiong vibration down my spine, and bulging spasmic temporal pain.
My neurovascular doctor called me yesterday, he will arange for a temporal artery biopsy. This way, I can hopefully rule out temporal arteritis.
I still do not know where to find the headache doctor, and I still do not know why I had this pain.

Thank you so much for reading,
best wishes
Synnove

I got several "good" referrals from doctors that turned out to be wombats, so BT-DT; I can empathize. It was only by accident that my orthopedist asked me offhandedly if I had seen "the headache guy", and things began to change.

Here's one possible site:
Florida - Migraine and Headache Specialists

Other leads here.

An initial visit is pretty standard now, and not always a bad idea. It can give patients the oportunity to size up the doctor too, before too much time is invested with one who just isn't a good match.

There are also some decent articles by goggling: what to expect first visit [specialty]

Doc

Dr. Smith
Yes, I agree regarding the initial visit to a doctor. I think I have to modify the way I conduct myself in regard to what will be discussed during that visit.
A patient should actually be able to have a free consultation with a doctor
in order to decide if this doctor's servises will be the right one.
Other professionals offers this.
Yes, I will be checking the list, I actualyy looked yesterday, and I noticed one of the neurologist on this list was a neurologist I saw at the Cleveland Clinic some 2 years ago, recently after all my neuro problem started.
But at this time, there were so many different issues, that headache were not adressed. And I did not know this doctor had as subspecialty Migrane.

I have a question now that I am looking back at the origional MRI of brain:
One or two findings were never discussed 10 finding "left posterior frontal lobe congenital venous angioma" and 2 " bilateral vertebral arteries impingement on the Medulla"

I wonder if theese can have anything to do with the headache.

All best wishes
Synnove