Migraine auras

Evidence-based neurology checklist on migraine auras: General aura features Auras occur in about a third of people with migraine They may also occur with or after the headache They may be associated with sensory and motor symptoms Speech impairment may manifest as aphasia Visual auras are visible…

General aura features

  • Auras occur in about a third of people with migraine
  • They may also occur with or after the headache
  • They may be associated with sensory and motor symptoms
  • Speech impairment may manifest as aphasia
  • Visual auras are visible even with the eyes shut
  • The mean attack frequency is 12 per year

Classification of auras by duration

Scintillating scotomas

Other visual aura types

Associated visual phenomena

Differential diagnoses: stroke

Differential diagnoses: others

Prophylactic treatment

Treatment of migraine aura status

References

  1. van Dongen RM, Haan J. Symptoms related to the visual system in migraine. F1000Res 2019; pii: F1000 Faculty Rev-1219. 
  2. Fandler-Höfler S, Enzinger C, Gattringer T. Speechless from pain: migraine with prolonged aura. Lancet 2020; 396:e11. 
  3. Detsky ME, McDonald DR, Baerlocher MO, Tomlinson GA, McCrory DC, Booth CM. Does this patient with headache have a migraine or need neuroimaging? JAMA 2006; 296:1274-1283.
  4. Angus-Leppan H, Caulfield A. Orgasmic migraine aura: report of two cases. Cephalalgia 2018:333102418771373.
  5. Rodríguez-Castro E, Lagorio AN, Bejarano-García A, Aguiar P, Cortés J, Leira R. Prolonged migraine stuttering aura: structural, functional, and video neuroimaging study of an atypical migraine aura. a case Report. Headache 2020; 60:776-780.
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