Yes But What Exactly Is It
Migraine and aura may both include a number of symptoms or a combination of symptoms . If you’ve heard anything about aura, you’ve heard that some migraineurs have visual disturbances: they may see flashing lights, jagged lines, circles, squares, or distortions of things they see. Objects may seem further away or closer. Visual distortions due to migraine have been said to have inspired Lewis Carroll in his book Through the Looking Glass. You can get it from Amazon for a couple of dollars it makes an interesting read if you suffer from migraines! –Check it out!But aura can go beyond this to things like dizziness, ringing in the ears, trouble focusing, slurred speech or trouble finding the right word when you talk . You may smell an odour that isn’t there . Some have numbness or tingling in hands, feet or lips . Yawning. Thirst. Irritability or euphoria. Stiff neck. Some people just have a gradually coming on “not right” feeling, or wake up feeling like they’ve been “hit by a train.” In rare cases even amnesia or advanced hallucinations. You can imagine how many of these symptoms could be quite frightening if you’re experiencing them for the first time!
Different Types Of Aura And Symptoms
Those who have migraine aura may have a range of symptoms, including:
- Vision Disturbances: Seeing spots, flashes, zig zags, stars, or even losing sight for short periods of time.
- Sensory Changes: Feeling tingling or numbness in the face, body, hands, and fingers.
- Speech or Language Problems: Unable to produce the right words, slurring or mumbling words.
How Are They Different
With or without an aura, you also get typical migraine symptoms, which may last 4 to 72 hours. They can include:
- Being sensitive to light, smells, sound, motion, and touch
- Blurred vision
- Pain that’s usually on one side of the head and worse when you move
- An upset stomach and throwing up
- Stiffness in your shoulders and neck
When you get an aura, it typically sets in slowly over 5 to 20 minutes. It may last up to an hour. It often acts as a warning before any pain shows up. But it can happen during the migraine, as well.
Visual auras. These are the most common ones. You might see unusual shapes or effects that grow or move, such as:
- Blind spots
- Tunnel vision
Other auras. Less often, they can affect your other senses and even your ability to move. You might have:
- Confusion and a hard time understanding people
- Movements you can’t control, like sudden jerks
- Muscle weakness
- Music or noises in your head that aren’t really there
- Pins and needles that start in your fingers or arm and spread to your face
- Speech problems, as if you know what you want to say but can’t form the words
Itâs important to remember that these can also be symptoms of a stroke. If you have any of them and your doctor has not told you before that they are a part of your migraine, call 911.
Sometimes, you can get an aura without any other symptoms. That’s sometimes called a silent migraine. It’s more common in people 50 and older.
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Migraine Aura And Stroke
It has been shown that patients with migraine aura have a slightly increased risk of having a stroke. This is a small risk but can increase further if other risk factors are present such as smoking, high blood pressure, high cholesterol, and being over-weight. So, it is important that patients stop smoking, get their blood pressure, cholesterol and glucose levels checked regularly and maintain a healthy lifestyle and body weight. Another thing that can increase the chances of stroke in these patients is the use of the combined contraceptive pill: this should be avoided by female patients with migraine aura. There are other hormonal options available for contraception. It is important to note that use of oestrogen containing HRT is allowed in patients with migraine and aura.
Prolonged Aura In Migraine Is Frequent Similar To Other Auras
A recent study has found that prolonged auras are common and are phenotypically similar to other auras. Based on the observed duration of aura symptoms, the researchers suggest reconsidering the use of the term prolonged aura.”
There is currently a limited amount of research involving prolonged aura in migrainehaving 1 or more aura symptoms lasting between 60 minutes and 7 days. However, a recent study has found that prolonged auras are common and are phenotypically similar to other auras .
Worldwide migraine is the third most common disorder and around 30% of sufferers experience migraine auras. Aura comprises completely reversible visual, sensory, or language symptoms , wrote the authors of the study. They added, We present a prospective study focusing on the frequency of occurrence and characteristics of PA.
The researchers recruited 224 patients from the Headache Centers of Pavia and Trondheim who suffered from migraine with aura between October 2012 and July 2014. Patients were followed until May 2015 and were asked to record characteristics of 3 consecutives attacks in an ad hoc aura diary, where they would describe the visual, sensory, and dysphasic aura symptoms, as well as the duration.
Viana M, Sances G, Nappi G, et al. Prolonged migraine aura: insights from a prospective diary-aided study . doi: https://doi.org/10.1186/s10194-018-0910-y.
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What Symptoms Must You Have To Be Diagnosed With A Migraine
Migraine with aura . This is a headache, plus:
- Visual symptoms or vision loss.
- Sensory symptoms .
Migraine without aura . A common migraine is a headache and:
- The attacks included pain on one side of your head.
- Youve had at least five attacks, each lasting between four and 72 hours.
Plus, youve experienced at least one of the following:
- Nausea and/or vomiting.
- Lights bother you and/or you avoid light.
- Sounds bother you and/or you avoid sounds.
How To Shorten Your Migraine Attack
If you recognize the signs that a migraine attack may be coming on, you may be able to reduce the amount of time it lasts, says Spears. Often the person with migraine doesnt always recognize the prodrome phase, but someone close to them a spouse or family member may pick up on it, he says.
Spears offers a few tips to potentially reduce the length of your migraine attack:
- Aggressively hydrate. Drinking a lot of water is usually helpful.
- Limit your physical activity. If possible, sit or lie down somewhere.
- Avoid stimulating environments. Go to a dark, quiet place.
Some people find that relaxation techniques, such as meditation or massage, will help release the tension they feel in their face, jaw, or neck. If you can release tension with these techniques, your migraine attack may not be as severe or last as long. Others find that putting a cold compress on their temples will help relieve their migraine symptoms and keep their migraine from lasting as long, Mauskop says.
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Can A Migraine With Aurais Be A Retinal Migraine
Migraine with aurais another possibility if you have the headache but your visual symptoms are more varied. If youre not sure about what your doctor is telling you, get a second opinion. Researchers suspect decreased blood flow to the eye or optic nerve may be to blame for the unique symptoms of retinal migraine.
Exact Answer : 4 To 72 Hours
There are several reasons due to which one can undergo severe headaches. Migraine is one of them. Migraine is a hard headache that lasts for several days, sometimes for weeks. Before the migraine headache, some people fall ill for one or two days. Some people feel flashing vision, uncomfortable with bright light sources. There are many symptoms that one can feel during or before the migraine headache. Pain behind your eyes, vomiting, feeling irritability to fragrances, throbbing pain on both sides of your head, nausea, etc. These are some of the signs of migraines.
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Do I Need Different Tests
With any kind of migraine, your doctor may ask you things like:
- Do other people in your family have migraines or other kinds of headaches?
- Do you have any allergies?
- What is the level of stress in your life?
- Do you use medications such as birth control pills or vasodilators that could cause headaches?
- Do you notice that headaches start after coughing or sneezing or after intense exercise?
Theyâll do tests to check for other conditions that could cause your symptoms. You may have blood or imaging tests, like a CT or MRI.
Symptoms of a migraine with aura can look like a more serious condition, such as a stroke or a seizure. To rule those out, you may get some extra tests, including an eye exam. You might also be more likely to have imaging tests.
The first time you notice an aura, it’s important to get medical care right away to find out what’s going on.
Once you’ve made sure there are no other issues, you don’t need to see your doctor every time you have that same aura. But if your symptoms change, make sure to check in.
Migraine Types With Aura
Because of the varying levels of sensory changes, aura can be alarming to experience, which is why being able to determine what type of headache you have can help to understand your symptoms and the progression of an attack. It can also be invaluable information to share with your doctor. The types of migraine known to have an aura stage are:
- Migraine with aurawith a headache or without a headache
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Summary Of Retinal Migraines
Retinal migraines are a subtype of migraine associated with monocular vision symptoms. Patients suspected of having retinal migraine should be carefully assessed by their doctor for an underlying cause. To help distinguish retinal migraine from migraine with typical aura, it is important that people carefully assess whether there vision symptoms are perceived in one or both eyes by alternating looking through either eye. The distinction between retinal migraine and migraine with typical aura has ramifications for treatment choices as well as prognosis counselling.
How Long Do Retinal Migraine Headaches Last
The headache phase of a retinal migraine begins during or within 60 minutes of the visual symptoms.
People suspected of having retinal migraine should be carefully assessed by their doctor for an underlying cause. As well, they should be evaluated to make sure that they do not have a different primary headache disorder that can mimic retinal migraine. Other primary headache disorders that mimic retinal migraine include migraine with typical aura.
In retinal migraine the visual symptoms should only be present when looking through one eye. For example if you look through the right eye and close the left eye, you see twinkling lights but when you look through the left eye and close the right eye your vision is normal. In migraine with typical aura, when you alternate which eye you look through the visual disturbance will be seen with either eye but possibly more prominent with one eye or the other. This is because in retinal migraine the vision symptoms are coming from the eye , while in migraine with typical aura the vision symptoms are coming from the brain . The distinction between retinal migraine and migraine with typical aura is important for treatment considerations and counselling regarding future outcomes. Irreversible visual loss may be a complication of retinal migraine but not migraine with typical aura. It is unclear how often permanent vision loss occurs with retinal migraine and there are no identified predictors for this currently.
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Coping With Migraine With Aura
Treating migraines with aura should consist of a combination of acute and preventative medication. However, according to Todd Schwedt, MD, if your symptoms have an immediate onset, last longer than 60 minutes or do not completely resolve, medical attention is required. If you experience additional symptoms, such as weakness on one side of the body, change in consciousness or level of alertness, its time to see a doctor. The condition also increases the risk of stroke because of this, treating other stroke risk factors and avoiding certain medications is important and should be discussed with your physician.
Phase : Migraine Headache
If left untreated, the headache phase can last from 4 to 72 hours in adults. The head pain is usually felt on one side but the sides may change, or spread to both sides of the head. It is often described as pulsing or throbbing and often gets worse with physical activity. The amount of pain can be mild to severe and may change from one attack to the next.
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Is There A Connection Between Strokes And Ocular Migraines
Currently, there isnt a definitive answer. But some researchers believe that ocular migraine and stroke have a connection. The connection, they believe, has to do with damage to the cells lining your blood vessels. The inflammation of the cells can cause them to become stiff and hence increase the risk of suffering a stroke.
Also, people who have migraine with aura are twice as likely to suffer a stroke as those who have no migraines.
Types Of Ocular Migraines
- Migraine With Aura
Ocular migraine with aura is a recurring headache that typically starts at the same time or after sensory disturbances known as an aura. These disturbances include visual changes such as blind spots, tingling in your face or hands. At times, the aura can occur without having a headache.
- Retinal Migraine
These migraines typically refer to symptoms that manifest only in one eye during or before the headache phase of the migraine episode. Retinal migraines tend to happen repetitively and are short-lasting accompanied by blindness or diminished vision.
The loss of vision is not related to migraines. A more severe underlying condition causes the loss of vision. You might need to see a doctor immediately to get your eyes checked.
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Visual Signs And Symptoms
Most people who have migraine with aura develop temporary visual signs and symptoms, which tend to start in the center of the field of vision and spread outward. These might include:
- Blind spots , which are sometimes outlined by simple geometric designs
- Zigzag lines that gradually float across your field of vision
- Shimmering spots or stars
How Long Can A Migraine Last
The Neverending Story
When you have a migraine, everyminute can seem like an eternity. It would be really great if your brain would wrap up the whole thing ASAP, but migraines can unfortunately last for much longer than they should have any right to do. We had experts explain why this is, plus if theres anything you can do to get rid of your migraines more quickly.
It could be that there are aberrations how in your brainstem communicates with your trigeminal nerve, an important pain messenger in your body, the Mayo Clinic says. Or maybe some of your brain chemicals that help regulate pain, like serotonin, are out of whack, again looping in that good ol trigeminal nerve to cause discomfort. Scientists still arent sure.
Although the cause of migraines may be hazy, this much is clear: They can be excruciating, causing a severe throbbing sensation in your head along with issues like nausea, vomiting, and an extreme sensitivity to light and sound. Some people also experience aura, which are sensory disturbances often having to do with your vision, so you might see mirages of wavy lines, flashes of light, and other weirdness.
While classic migraines cause intense pain, some may only crash into your life with symptoms such as visual changes or intense dizziness. Whether or not your migraines come with pain, common triggers include stress, caffeine, hormonal fluctuations, and the weather.
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Persistent Aura Without Infarction: The Essentials
Medical Review:David Watson, MD
Symptoms of the Migraine aura, the second potential phase of a Migraine attack, usually last from five to 60 minutes. Aura symptoms usually last from five to 60 minutes. Of course, each of us is different, so they could last longer.
Its a different matter, however, when aura symptoms persist for a week or more, and we need to see our doctors if that occurs. If aura symptoms last this long, it could be a rare form of migraine aura called Persistent Aura without Infarction .
The International Headache Societys International Classification of Headache Disorders, 3rd Edition , is generally accepted as the gold standard for consistency in diagnosing and classifying head pain disorders, This provides standardization of diagnoses, providing guidance and reducing confusion.
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What Are The Four Stages Of Migraines
The various four stages of migraines include:
- Prodrome: Also known as the preheadache stage, it precedes a migraine attack. It can last for several hours or several days. During this phase, taking medication, practicing a stress-relieving technique, or avoiding trigger factors can prevent a migraine attack. Some of the common symptoms include:
- Changes in mood