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.

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!!

More discussions about migraine with aura
References in periodicals archive ?
Previous studies have showed that patent foramen ovale is more common particularly in migraine with aura.
"Our results showed no increase in stroke risk for individuals with migraine without aura, and a somewhat higher risk in twins with migraine with aura, even though this risk was lower than previously demonstrated," says Maria Lantz, postdoc at Karolinska Institutet's Department of Clinical Neuroscience.
Moreover, 18(5.4%) patients had migraine with aura, 49(14.8%) had migraine without aura and 56(16.9%) had tension-type headache.
MBA and HM are subtypes of migraine with aura. BPV is included in "episodic syndromes that may be associated with migraine" and occurs in healthy children.
Effects of an estrogen-free, desogestrel-containing oral contraceptive in women with migraine with aura: a prospective diary-based pilot study.
Although the literature significantly lacks a comparable control group, (4) it has been proven that migraine with aura has the highest risk for subclinical infarction in the cerebellum probably due to hypoperfusion in the posterior circulation of the brain.
[6-8] Indeed, initial retrospective case-control studies found increased risk of ischemic stroke, in particular among cases of migraine with aura. A retrospective assessment of lifetime history of migraine with aura and prevalent TIA symptoms might reveal a strong association as both have similar clinical features that even experienced neurologists cannot distinguish.
Agostoni et al., [sup][3] noted that migraine with aura may be the outcome rather than the cause of cerebral ischemia, and cerebral hypoperfusion could reduce the threshold for developing spreading depression preceding a migraine aura.
Migraine with aura increases the risk of stroke by 2.3-3.6 times in women younger than 45 years.
Intravenous magnesium sulphate in the acute treatment of migraine without aura and migraine with aura. A randomized, double-blind, placebo-controlled study.
High blood pressure is the number one risk factor for strokes, followed by atrial fibrillation, diabetes, a family history and high cholesterol, but now researchers have shown that patients who experience migraine with aura are at equal risk.
People with migraine, particularly migraine with aura, are more likely to be missing components of the circle of Willis.