Hormonal Variations In Women
Fluctuations take place in the level of estrogen may activate the problem of headache in large number of women. Particularly, women with migraine history usually report the problem of aura in the eye immediately during or before their menstrual cycle, as during that time there is a significant drop in their estrogen levels. Moreover, a few women may have tendencies to develop the problem of aura in the eye either at the time of pregnancy or during the phase of menopause.
A Richer View Of Aura
Drawings of the strange visual phenomena seen by people who experience auras are helping scientists to understand the condition.Credit: Priya Rama
In 2012, neurologist Andrew Charles received a phone call from a septuagenarian engineer who had begun having migraines with aura at the age of 14. The man, who asked to be identified as P.V., told Charles that for the previous 18 years he had been drawing every single aura he had experienced an average of 80 per year.
Whenever he sensed an aura beginning, P.V. grabbed a sheet of paper and sketched what he saw. With an engineers meticulousness, he ran a stopwatch and redrew the shifting mirage every minute until it ended, typically 2530 minutes later. He asked Charles whether his drawings might be useful to scientists interested in migraine. Soon after, P.V. arrived in Charless office at the David Geffen School of Medicine at the University of California, Los Angeles, and deposited a thousand-strong stack of papers on the desk.
P.V.s auras began as a small focal disturbance, which then expanded into a slowly spreading, crescent-like shape. The leading edge of this crescent was a flickering, morphing band of zigzagging, multicoloured lines known as a fortification spectrum. In the spectrums wake was an area of diminished vision called a scotoma.
How To Reduce Migraine Triggers
There are no medications specifically for migraine aura, and no dependable way to prevent it. However, there are steps sufferers can take to try to control their migraines.
Lifestyle changes that eliminate migraine triggers often can help.
We know that the migraine brain is a very sensitive brain that likes things to remain the same. So you need to eat regularly. If you skip a meal, thats a trigger, says Glaser.
You need to sleep regularly, and not just catch up on your sleep on the weekend. You need to hydrate because dehydration is also a trigger,” she adds.
“Keep your stress levels as low as possible and learn how to deal with stress. If you can live that way, then youre raising the threshold to get a migraine,Glaser says.
Migraines also can be triggered by environmental factors that can be controlled to one degree or another. These include bright or flickering lights, pollution, changes in altitude, air pressure, strong smells and motion sickness.
Weather changes such as high or low humidity, sudden or drastic changes in temperature or barometric pressure also can bring on a migraine headache.
In women, fluctuations in hormones related to pregnancy, oral contraceptives, menstruation and menopause can trigger migraines.
Contrary to some beliefs, Glaser says there is no strong scientific evidence linking migraines to specific foods.
Alcohol and caffeine are two substances that she recommends be limited.
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What Is The Best Way To Treat A Migraine With Aura
When aura symptoms begin, it can be helpful to move into a quiet, dark room and close your eyes.
Placing a cold compress on your forehead or the back of your neck may also help ease ensuing migraine pain.
Like other types of migraine, treating a migraine with aura involves a combination of medications. These include medications for both prevention and relief of symptoms.
Preventive medications that may stop migraine attacks from occurring include:
- antidepressants, such as amitriptyline
- blood pressure medications, like beta-blockers or calcium channel blockers
- anti-seizure drugs, such as topiramate
Medications for symptom relief help decrease the severity of an oncoming migraine attack. Theyre typically taken as soon as the symptoms of an aura develop.
Examples of some of these medications are:
- over-the-counter pain relievers like acetaminophen or ibuprofen
- triptans, such as rizatriptan and sumatriptan
- happens after a head injury
Its also a good rule of thumb to make an appointment with your doctor for headaches that:
- happen frequently and last from hours to days
- disrupt your daily activities
- occur frequently when you used to be headache-free
If youre concerned about your migraine and dont already have a primary care provider, you can view doctors in your area through the Healthline FindCare tool.
Why Do I Get Ocular Migraines
Migraines are caused by cortical spreading depression, a medical term used to describe abnormal electrical activity in the brain that typically starts in the occipital lobe and spreads through the rest of the brain at a slow but steady pace. Ocular migraines may be caused by this same phenomenon that takes place in the retina of the eye.
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What Medications Are Used To Relieve Migraine Pain
Over-the-counter medications are effective for some people with mild to moderate migraines. The main ingredients in pain relieving medications are ibuprofen, aspirin, acetaminophen, naproxen and caffeine.
Three over-the-counter products approved by the Food and Drug Administration for migraine headaches are:
- Excedrin® Migraine.
- Advil® Migraine.
- Motrin® Migraine Pain.
Be cautious when taking over-the-counter pain relieving medications. Sometimes overusing them can cause analgesic-rebound headaches or a dependency problem. If you’re taking any over-the-counter pain medications more than two to three times a week, report that to your healthcare provider. They may suggest prescription medications that may be more effective.
Prescription drugs for migraine headaches include:
Triptan class of drugs :
- Co-enzyme Q10.
Drugs to relieve migraine pain come in a variety of formulations including pills, tablets, injections, suppositories and nasal sprays. You and your healthcare provider will discuss the specific medication, combination of medications and formulations to best meet your unique headache pain.
Drugs to relieve nausea are also prescribed, if needed.
All medications should be used under the direction of a headache specialist or healthcare provider familiar with migraine therapy. As with any medication, it’s important to carefully follow the label instructions and your healthcare providers advice.
What Is A Migraine With Aura
About a quarter of all migraines happen with auras. But you may not have one with every migraine. Some children and older adults may get an aura but no pain.
Though they can hurt a lot and make you feel “off,” these headaches aren’t life-threatening. There are things you can do as well as medications and devices that can treat the symptoms and prevent migraine with aura.
What is aura?
“Aura” is the term for any of the sensory changes that happen before a migraine headache. They can affect your vision, hearing, or ability to speak. You could also have muscle weakness or tingling.
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What About Ocular Optical & Ophthalmic Migraine
You might have heard about ocular migraine, optical migraine or even ophthalmic migraine. These are terms which may be used to describe your migraine condition by others but they are not formally recognized migraine classifications by the International Headache Society or the International Classification of Headache Disorders.
Often these are terms used by individuals or doctors who are not aware of the ICHD classifications . The terms are essentially translated to eye or eye-related migraines which isnt a particularly helpful diagnosis. The reality is many general doctors may not aware of the globally recognized standard of migraine classifications.
There is no classification for ocular, optical or ophthalmic migraine under the current ICHD-3. When someone claims they have an ocular, optical or ophthalmic migraine, then sees a qualified doctor to get an official ICHD diagnosis it is likely to fall into one of the four types of migraine with aura discussed above.
Which type of migraine with aura will depend on the symptoms experienced and diagnosis from your doctor. Below is a symptom & classification table to help you get a headstart.
Risk Factors And Complications
Like migraines without aura, migraines with aura dont appear to cause lasting damage, although they can be painful and disruptive.4 However, people who experience migraines with aura may have a slightly higher risk of stroke, and so should be aware of the signs.2,5
You should also consult a doctor when you first experience aura symptoms, as some of these can also be caused by a stroke, retinal tear or other serious conditions.2
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What Are Ocular Migraines
The term ocular migraine is used to describe a migraine that takes place in the eye. These migraines can manifest as a variety of different visual disturbances including:
- Zigzag lines
- Bright flashes of light
- Scotomas or blind spots
- Scintillations or sparkling, usually of lights or stars but can also be blind spots
These are the most common symptoms of an ocular migraine, but the visual disturbance caused by this type of migraine can manifest as anything from shadows in the vision to a complete but temporary loss of vision in the eye.
What makes an ocular migraine different from an aura is that it typically only occurs in one eye and lasts only a few minutes to an hour. They are also not followed by an actual migraine headache .
What Are The ‘red Flags’ That My Visual Symptoms Are Not Due To Migraine
The typical symptoms of a visual migraine are positive, meaning that there is something shimmering or sparkling that is disrupting the vision. Migraines are less likely to cause “negative” symptoms of pure visual darkness. An episode of visual darkness typically requires additional evaluation for other conditions, including a mini-stroke .
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Environmental And Genetic Triggers
, some researchers believe that substances in the brain may build up and cause inflammation, leading to migraine.
Genes and environmental triggers may also play a role in this inflammation.
They also note that although migraine is more common in females, males are more likely to develop migraine with aura.
What Else Can I Do To Prevent Migraines
While there are no sure ways to keep from having migraine headaches, here are some things that may help:
Eat regularly and do not skip meals.
- Keep a regular sleep schedule.
- Exercise regularly. Aerobic exercise can help reduce tension as well as keep your weight in check. Obesity can contribute to migraines.
- Keep a migraine journal to help you learn what triggers your migraines and what treatments are most helpful.
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Stress Management And Lifestyle
When symptoms of migraine with aura start, try heading to a quiet, darkened room. Close your eyes and rest or take a nap. Place a cool cloth or an ice pack wrapped in a towel or cloth on your forehead or at the back of your neck.
Other practices that might soothe migraine with aura pain include:
- Relaxation techniques. Biofeedback and other forms of relaxation training teach you ways to deal with stressful situations, which might help reduce the number of migraines you have.
- Develop a sleeping and eating routine. Don’t sleep too much or too little. Set and follow a consistent sleep and wake schedule daily. Try to eat meals at the same time every day.
- Drink plenty of fluids. Staying hydrated, particularly with water, might help.
What About Treating Aura Specifically
Evidence suggests magnesium can help control pain symptoms in migraine with aura. Some health professionals recommend taking magnesium to help with migraine prevention as well, but you should speak with your doctor about your medical history before starting any supplements.
In May 2018, the U.S. Food and Drug Administration approved the first medication developed specifically to prevent migraine headaches, a biologic drug calledAimovig .
Aimovig, a once-monthly subcutaneous injection, blocks the transmission of pain signals by targeting a protein in the brain and nervous system called calcitonin gene-related peptide . It also dilates blood vessels outside and inside of the skull.
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Migraine Without Aura And Migraine With Aura: Separate Entities
Whether MA and MWA are part of a continuum or distinct entities has been much disputed . The continuum theory is based on the clinical co-occurrence of MA and MWA, the similarity between MA and MWA during the prodrome, the headache and the resolution phases and the similar therapeutic response. Clinical observations also suggest that one form may transform into the other . However, clinical, epidemiological, pathophysiological and genetic findings suggest that MA and MWA are distinct . The co-occurrence of MA and MWA is no more than a random occurrence . Moreover, headaches in MA are less severe and shorter than in MWA and in MWA a hormonal influence is clearer . In a population-based twin sample it was found that unilateral headache, photophobia and a shorter duration were associated with MA whilst nausea was more common in MWA .
Dilatation of large inter- and extracranial arteries occurs in both forms during an attack, but regional cerebral blood flow changes are present only in MA . Finally imaging and biochemical studies suggest that these are two distinct entities .
Gerry J.F. Saldanha, in, 2010
How Can I Treat Migraines Without Using Medicines
It is very important to remember that many of the most effective preventive treatments for migraines do not require any medications. Frequent aerobic exercise is an excellent example of an effective way to improve headaches. Other strategies may include better sleep habits, stress reduction, massage, yoga, and acupuncture.
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What Is A Migraine
Migraine is a neurological condition that is characterized by often incapacitating symptoms including severe, throbbing and recurring pain thats usually centered on one side of the head.
Other disabling symptoms of a migraine are nausea, vomiting, dizziness, tingling or numbness in the extremities or face, and extreme sensitivity to sound, light, touch and smell.
Migraine affects about 1 billion men, women and children worldwide and approximately 40 million Americans.
Migraine headaches can last up to three days and produce moderate to severe pain.
Migraines are most common between the ages of 18 and 44, and they affect women disproportionately. Eighteen percent of American women suffer from migraines, compared to 6 percent of men and 10 percent of school-age children.
There is a strong genetic link for migraines, with about 90 percent of sufferers reporting a family history of these headaches.
Migraine is a “diagnosis of exclusion,” which means it is reached by a process of elimination since there is no test or biomarker to confirm its presence.
Just as every person is unique, so are migraine headaches. Migraines differ from person to person, and migraines also can present in different ways and with different symptoms in the same person.
What You Can Do
- Keep track of your symptoms. Keep a headache diary by writing a description of each incident of visual disturbances or unusual sensations, including when they occurred, how long they lasted and what triggered them. A headache diary can help your doctor diagnose your condition.
- Write down key personal information, including major stresses or recent life changes.
For migraine with aura, some questions to ask your doctor include:
- What’s the likely cause of my symptoms?
- What tests, if any, do I need?
- Is my condition likely temporary or chronic?
- What treatments are available? Which do you recommend?
- I have other health conditions. How can I best manage them together?
- Are there dietary restrictions I need to follow?
- Are there written materials I can take with me or websites you recommend?
Don’t hesitate to ask other questions you have.
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What Is Aura In The Eye & What Causes An Aura In The Eye
Aura in the eye, also called as migraine with aura or classic aura refers to a severe headache, which strikes along or after with various sensory disturbances. Here, the disturbances may include blind spots, light flashes, changes in the vision of a patient or tingling in his face or hand.
Migraine with aura or aura in the eye problem may result in throbbing pain or a sensation of pulse severely on a particular side of your head. In addition, sometimes, the problem accompanies vomiting, nausea and extreme sensitivity towards the sound and the light.
Migraine attacks may result in a huge pain for about few hours to 1 or 2 day and may become so much severe that pain disables. Aura or any other warning symptom may take place with or before you face with the headache problem. These include tingling, light flashes and blind spots.
What Is Aura In The Eye
Auras, as mentioned before are symptoms related to a patients nervous system. These mainly indicate visual disturbances in the form of waves or light flashes and zigzag vision. Sometimes, auras may be in the form of motor or movement, sensory or sensations, verbal or speech disturbances. In addition, it weakens the body muscles or forces a person to feel as somebody his touching him/her. Each of the symptoms mentioned here starts gradually and forms for several minutes, while lasts for even an hour.
Aura in the eye symptoms include:
- Visual phenomena, which take place in the form of viewing different shapes, light flashes and bright spots, while in some cases, loss of vision
- Sensation of needles and pins in a leg or in an arm
- Numbness or weakness in the face or any particular side of a patients body
- Hearing music or noises
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