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The aura phase of migraine can occur with or without a headache. Ocular or retinal migraines happen in the eye, so only affect the vision in that eye, while visual migraines occur in the brain, so affect the vision in both eyes together. Visual migraines result from cortical spreading depression and are also commonly termed scintillating scotoma.
Acephalgic migraine (also called migraine aura without headache, amigrainous migraine, isolated visual migraine, and optical migraine) is a neurological syndrome.It is a relatively uncommon variant of migraine in which the patient may experience some migraine symptoms such as aura, nausea, photophobia, and hemiparesis, but does not experience headache. [1]
Symptoms typically appear gradually over 5 to 20 minutes and generally last less than 60 minutes, leading to the headache in classic migraine with aura, or resolving without consequence in acephalgic migraine. [3] For many sufferers, scintillating scotoma is first experienced as a prodrome to migraine, then without migraine later in life ...
The main symptoms associated with an occipital lobe infarction involve changes to vision such as: blurry vision; blindness, which may affect part of vision only; hallucinations, such as flashing lights (photopsia): usually only in the context of blindness
American reporter Julie Chin experienced stroke symptoms on live TV: ... (sudden vision changes), Face (facial droop), Arms (one arm usually drifts down), Speech (slurred or confused) and Time ...
Auras can also be confused with sudden onset of panic, panic attacks or anxiety attacks, which creates difficulties in diagnosis. The differential diagnosis of patients who experience symptoms of paresthesias , derealization , dizziness, chest pain, tremors, and palpitations can be quite challenging.
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