About Migraines with Aura
What Is Migraine with Aura?
Migraine with aura is very similar in presentation to the ‘normal’ version of migraine but it is preceded by some type of ‘aura’ or visual disturbance, typically an early warning sign that a migraine is beginning to occur.
The aura is a form of sensory change that usually occurs about 30 minutes before the head pain begins. 90% of the time this is a visual change like zig zags, flashing lights or black spots moving across the visual field. It can also take the form of pins and needles in the hands and/or feet or muscle weakness, often on one side of the body which is referred to as hemiplegic migraine. Another disturbing feature can be an inability to speak (aphasia).
Some of these symptoms can be alarming because they mimic a stroke but in Migraine with Aura, they are fully reversible and only last for a relatively short period of time. There are occasions where a person has an aura without an accompanying headache, this is sometimes referred to as a silent migraine.
Migraine with Aura Diagnosis
How Do We Diagnose Migraine with Aura?
The diagnosis of Migraine with Aura can take some time initially as the concern is often whether someone is having a stroke or some sort of brain injury. Once this has been cleared and a full medical history has been clarified, a diagnosis of Migraine with aura can usually be made promptly.
Migraine with Aura Symptoms
Difficulty in Concentration
Tired and weary Yawning
Pallor & Paralysis
Neck Stiffness
Sensitivity to light and sound
Blurred vision / doplopia
Nausea Vomitting
Dizziness
Migraine with aura – Frequently Asked Questions
What is a migraine with aura?
A migraine with aura is a type of migraine that begins with a sensory disturbance known as an aura, typically occurring about 30 minutes before the headache starts. The aura can include visual changes like zigzags, flashing lights, or black spots, as well as other symptoms such as pins and needles, muscle weakness, or difficulty speaking.
Are migraines with aura common?
Yes, migraines with aura are relatively common. Many individuals who experience migraines have both types—those with aura and those without. Visual aura is the most common, occurring in over 90% of people who experience migraines with aura.
Can migraines with aura be serious?
Migraines with aura can be concerning, especially because the aura symptoms can mimic more serious conditions like a stroke. However, the symptoms are fully reversible and usually short-lived. It’s important to manage migraines effectively to reduce the frequency and severity of attacks.
What can migraines with aura affect?
Migraines with aura can affect various aspects of a person’s life, including their vision, sensory perception, speech, and even motor function. These symptoms can be disruptive and may impact daily activities, making it difficult to work, drive, or perform other tasks.
Is there a difference between a migraine and a migraine with aura?
Yes, the primary difference is the presence of an aura—a sensory disturbance that occurs before the headache phase in migraines with aura. In contrast, migraines without aura do not have this warning sign and typically begin directly with the headache.
Can migraines with aura be dangerous?
While the symptoms of a migraine with aura can be alarming, they are generally not dangerous. However, because the symptoms can resemble those of a stroke or other serious conditions, it is essential to seek medical advice if you experience them, especially if they are new or unusual.
Can migraines with aura be treated?
Yes, migraines with aura can be treated. Treatment often includes medications like triptans, CGRP (Calcitonin Gene-Related Peptide) injections, or Botox, which target nerve sensitivity in the brainstem. Treatment of the upper neck through the Watson Headache® Approach has also proven effective in reducing migraine symptoms.
Can a migraines with aura be treated from home?
Yes, some aspects of migraine management can be handled at home. This includes taking prescribed medications at the onset of symptoms, practicing stress management techniques, improving sleep hygiene, and making dietary changes.
What causes migraines with aura?
The exact cause of migraines with aura is not fully understood, but they are believed to be related to brainstem sensitivity and cortical spreading depression—a wave of electrical activity that spreads across the brain. Triggers can include stress, hormonal changes, certain foods, and lack of sleep. These can be worsened with dysfunction in your upper cervical spine.
How to prevent migraines with aura?
Prevention strategies for migraines with aura include avoiding known triggers, maintaining a regular sleep schedule, eating a balanced diet, and managing stress.
Regular treatment of the upper neck, particularly through the Watson Headache® Approach, can also help migraines by reducing brainstem sensitivity.
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