migraine with aura


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migraine with aura

An episodic headache (which accounts for up to 20% of all migraines) that lasts 4 to 72 hours, is associated with nausea and vomiting, as well as photo- and phonophobia, and often follows temporary neurological symptoms known as an aura. While auras can be motor or other sensory in nature, most are visual, the presence of which can be assessed by the visual aura rating scale (VARS). In most patients, the headaches are unilateral, pulsating and of moderate to severe intensity; the aura may not occur on the same side as the migraine. Patients are asymptomatic between episodes. There may be a family history of migraines and of travel sickness.

Significance
Migraines with aura carries a two-fold greater risk of ischaemic stroke.

migraine with aura,

n See classic migraine.

Patient discussion about migraine with aura

Q. Can visual aura alone be migraine? I'm 21 years old girl, and for the last six years, about once a week, when I wake up from night sleep all I see in my left eye is a very bright light. After some time my vision returns. In the last few weeks it became more frequent and also starts to happen in the other eye. I consulted my doctor and she told me it's not an important thing, and that it's probably a specific type of migraine. However, I don't have any pain at all. Does anyone else have this? Is it possible for migraine to occur only with aura, without any pain?

A. Hi,

I'm sorry to hear about your problem. Whatever your doctor told you, you should know that if it bothers you, it IS an "important thing". I also suffer from similiar thing (only visual disturbances after I wake up, without any pain), and when my doctor prescribed me meds they went away. You should consult your doctor again and ask him for a solution for this thing.

Q. My 21 year son has chronic sinus issues, I think, due to many high school sports injuries. Help! His ENT has recommended a "nose job" but our insurance will not cover it. Do you know of any holostic, nutritional or homeopathic solutions to keep this under control? When he gets a headache, it shuts him down and normally goes into a migraine.

A. One of the best, most inexpensive, ways to prevent, treat, and generally care for any sinus related problem is with a saline (salt water) sinus rinse. The one I use is called "Neil Med" and can be purchased at Walgreen's for about $15. It has a plastic bottle with pre-measured, pre-packaged salt that is should be mixed with cooled off sterilized (boiled) water. If I get an infection, using 2 or 3 packets to concentrate the solution gives the lavage a bacteriostatic (stuns/partially kills bacteria), not bacteriocidal (kills bacteria) quality. I do not own Neil Med although I wish I did!! The lavage method also washes out any dust, old mucous, you name it. It should be used prior to the use of any nasal steroid like Flonase if treating allergic rhinitis. Good luck!!

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References in periodicals archive ?
The results of the study provide valuable clinical information both for sufferers of migraine without aura, where there is no observable increase in risk, and for sufferers of migraine with aura, where the risk of stroke is lower than previously demonstrated.
TABLE 3 US Medical Eligibility Criteria for COC use in women with migraines (36) Migraine with aura Migraine without aura Age <35 years Non-smoker Unacceptable health Advantages generally risk outweigh theoretical and proven risks Smoker Theoretical or proven risks usually outweigh the advantages * Vascular risk Unacceptable health risk factors ([dagger]) Age [greater than or equal to] 35 years Non-smoker Unacceptable health Theoretical or proven risk risks usually outweigh the advantages Smoker Unacceptable health risk Vascular risk Unacceptable health risk factors ([dagger]) COC, combined oral contraceptives.
Several studies [20,21] evaluated the association between migraine and stroke and found increased risk for migraine with aura.
Unlike WHO and ACOG, the International Headache Society recommends assessing risk individually when deciding whether to prescribe oral contraceptives for women who have migraine with aura, Dr.
Your new patient is a 52-year-old woman (G2P2) who reports a long history of two types of migraine: menstrually related migraine without aura and nonmenstrually related migraine with aura (usually involving visual scotomata).
Yet, studies are showing that those who experience migraine with aura should be evaluated for their increased risk of stroke and cardiovascular disease.
The same increased risk sustained for both genotypes in the migraine with aura subgroup, but only the ID genotype remained as the risk factor in the migraine without aura subgroup (OR-3.
For the meta-analysis, researchers reviewed six population-based studies and 13 clinic-based studies to see whether people who experienced migraine or migraine with aura had an increased risk of brain lesions, silent abnormalities or brain volume changes on MRI brain scans compared to those without the conditions.
Among these, 95 Percent were migraine without aura, and 5 Percent were migraine with aura.
In the US the incidence of migraine without aura is highest in girls of age between 14 and 17 years however for migraine with aura, the highest incidence is between 12 and 13 years.
Based on data from the Women's Health Study, researchers concluded that, after hypertension, migraine with aura is the condition most strongly associated with heart attacks and strokes.
The study found that participants with two or more first-degree relatives (parents, siblings or children) with epilepsy were more likely to suffer from migraine with aura (where the headache is preceded by warning signs such as visual problems), than participants with fewer additional affected relatives.