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There are four possible phases of a migraine attack: prodrome, aura, attack and post-drome, the Mayo Clinic explains. Not everyone who gets a migraine attack will experience all four phases.
Chronic headache, or chronic daily headache (CDH), is classified as experiencing fifteen or more days with a headache per month. [1] It is estimated that chronic headaches affect "4% to 5% of the general population". [ 2 ]
The aura is usually followed, after a time varying from minutes to an hour, by the migraine headache. However, the migraine aura can manifest itself in isolation, that is, without being followed by headache. The aura can stay for the duration of the migraine; depending on the type of aura, it can leave the person disoriented and confused.
Scintillating scotoma is a common visual aura that was first described by 19th-century physician Hubert Airy (1838–1903). Originating from the brain, it may precede a migraine headache, but can also occur acephalgically (without headache), also known as visual migraine or migraine aura. [4]
migraine aura (ocular migraine / retinal migraine) migraine aura without headache; scintillating scotoma; retinal break or detachment; occipital lobe infarction (similar to occipital stroke) sensory deprivation (ophthalmopathic hallucinations) age-related macular degeneration; vertebrobasilar insufficiency; optic neuritis; visual snow syndrome
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 ...
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