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Visual auras can be simple or complex. Simple visual symptoms can include static, flashing, or moving lights/shapes/colors caused mostly by abnormal activity in the primary visual cortex. Complex visual auras can include people, scenes, and objects which results from stimulation of the temporo-occipital junction and is lateralized to one hemifield.
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 ]
Photopsia; This is an approximation of the zig-zag visual of a scintillating scotoma as a migraine aura. It moves and vibrates, expanding and slowly fading away over the course of about 20 minutes.
"Some individuals also experience aura, a neurological phenomenon that can include visual disturbances — like zig-zag lights or blind spots — or sensory changes, like tingling or numbness ...
Typically, visual disturbances in MA patients begin as a zig zag line in the middle of the ocular field which appears to be flickering. [7] Some patients describe symptoms of an expanding red circle in the centre of their visual field. [8] A scotoma often occurs when the visual disturbance moves to the periphery of the visual field. [7]
Depending on the content, visual hallucinations can be classified as either simple or complex. [1] Simple visual hallucinations are commonly characterized by shapes, photopsias, and grid-like patterns. [6] Complex visual hallucinations consist of highly detailed representations of people and objects. [6]
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A scotoma may include and enlarge the normal blind spot. Even a small scotoma that happens to affect central or macular vision will produce a severe visual disability, whereas a large scotoma in the more peripheral part of a visual field may go unnoticed by the bearer because of the normal reduced optical resolution in the peripheral visual field.