I've never heard of silent migraines. They sound very scary but also rather intriguing. I only get very occasional 'full blown' migraines; visual aura, nausea and sickness, excruciating pain (I had my first one at 16 and thought I was having a brain haemorrhage! Lol!), these days, but used to get about 3 or 4 a year. Now I usually have atypical migraines; one sided (usually the left) excruciating pain, visual aura but no nausea or sickness. I was having 3 or 4 a week, each lasting 1 to 2 days.... one would fade out, leaving me muzzy headed, and then within 12 hours, another would come on! I was prescribed beta blockers which helped enormously, and cut them down to 1 or 2 a month but over the past year they've started becoming more frequent and I'm up to 2 or 3 a week again at the moment. I think I've become used to the beta blocker dose so I'm waiting to see the GP. I've got naratriptan to take when I feel the first pangs come on, and they work really well. Unfortunately, they have to be taken at the first pangs. If its taken hold, they don't work at all. And unfortunately, I tend to wake up with one
, so then it's just a case of wait it out (no normal, or prescribed, medication helps once they've started) 