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Scintillating scotomas are most commonly caused by cortical spreading depression, a pattern of changes in the behavior of nerves in the brain during a migraine. Migraines, in turn, may be caused by genetic influences and hormones. People with migraines often self-report triggers for migraines involving stress or foods, [9] or bright lights. [10]
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. It is common for people with migraines to experience more than one type of aura during the migraine.
In Europe, migraine affects 12–28% of people at some point in their lives with about 6–15% of adult men and 14–35% of adult women getting at least one attack yearly. [146] Rates of migraine are slightly lower in Asia and Africa than in Western countries. [48] [147] Chronic migraine occurs in approximately 1.4–2.2% of the population. [148]
Approximately 12–18% of people in the world have migraines. [79] More women than men experience migraines. In Europe and North America, 5–9% of men experience migraines, while 12–25% of women experience migraines. [78] Cluster headaches are relatively uncommon. They affect only 1–3 per thousand people in the world.
Cluster headache may run in some families in an autosomal dominant inheritance pattern. [31] [32] People with a first degree relative with the condition are about 14–48 times more likely to develop it themselves, [1] and around 8 to 10% of persons with cluster headaches have a family history.
Migraine with brainstem aura (abbreviated MBA; aka basilar artery migraine, basilar migraine, basilar-type migraine) is a subtype of migraine with aura in which symptoms clearly originate from the brainstem, but no motor weakness. When motor symptoms are present, the subtype is coded as 1.2.3 Hemiplegic migraine.
The most common type of vascular headache is migraine. Migraine headaches are usually characterized by severe pain on one or both sides of the head, an upset stomach, and, for some people, disturbed vision. It is more common in women. While vascular changes are evident during a migraine, the cause of the headache is neurological, not
A migrainous infarction is a rare type of ischaemic stroke which occurs in correspondence with migraine aura symptoms. [1] Symptoms include headaches, visual disturbances, strange sensations and dysphasia, all of which gradually worsen causing neurological changes which ultimately increase the risk of an ischaemic stroke. [2]
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