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Persistent aura without infarction (PAWOI) is a rare and seemingly benign [1] condition, first described in case reports in 1982 as "prolonged/persistent migraine aura status", [2] and in 2000 as "migraine aura status", [3] [4] that is not yet fully understood.
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]
Rescue treatment involves acute symptomatic control with medication. [4] Recommendations for rescue therapy of migraine include: (1) migraine-specific agents such as triptans, CGRP antagonists, or ditans for patients with severe headaches or for headaches that respond poorly to analgesics, (2) non-oral (typically nasal or injection) route of administration for patients with vomiting, (3) avoid ...
Olivia Begasse de Dhaem, M.D., a board-certified neurologist and headache specialist, and a member of the American Headache Society, has more to add: “Without treatment, migraine can interfere ...
Migraine with aura appears to be a risk factor for ischemic stroke [135] doubling the risk. [136] Being a young adult, being female, using hormonal birth control, and smoking further increases this risk. [135] There also appears to be an association with cervical artery dissection. [137] Migraine without aura does not appear to be a factor. [138]
Rimegepant, sold under the brand name Nurtec ODT among others, is a medication used for the acute treatment of migraine with or without aura in adults and the prophylactic/ preventive treatment of episodic migraine in adults. [8] [10] It is taken by mouth to dissolve on or under the tongue. [8] It works by blocking CGRP receptors. [11]
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