Visual symptoms in the migraine syndrome

Hachinski, Vladimir; Porchawka, J.; Steele, John C.H.

doi:10.1212/wnl.23.6.570

Cited by 101 publications

(15 citation statements)

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“…In 5 attacks the light was constant with zigzag lines. Visual snow, as well as several small scotomas merging to one scotoma was also reported.Hachinski 1973 [26] b 100100N6Binocular visual impairment (transient blindness and blurring of vision the most common ones) and/or scotomas (77%), distortion and hallucination (micropsia and macropsia were the most common, inversion, alteration of the perception of motion and elaborate hallucination were less seen) (16%), uniocular visual impairment and scotoma (7%) a This study was conducted in a population of teenagers. b This study was conducted in a population of children…”

Section: Resultsmentioning

confidence: 95%

Clinical features of visual migraine aura: a systematic review

et al. 2019

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BackgroundMigraine aura (MA) is a common and disabling neurological condition, characterized by transient visual, and less frequently sensory and dysphasic aura disturbances.MA is associated with an increased risk of cardiovascular disorders and is often clinically difficult to distinguish from other serious neurological disorders such as transient ischemic attacks and epilepsy. Optimal clinical classification of MA symptoms is important for more accurate diagnosis and improved understanding of the pathophysiology of MA through clinical studies.Main bodyA systematic review of previous prospective and retrospective systematic recordings of visual aura symptoms (VASs) was performed to provide an overview of the different types of visual phenomena occurring during MA and their respective frequencies in patients. We found 11 retrospective studies and three prospective studies systematically describing VASs. The number of different types of VASs reported by patients in the studies ranged from two to 23. The most common were flashes of bright light, “foggy” vision, zigzag lines, scotoma, small bright dots and ‘like looking through heat waves or water’.ConclusionsWe created a comprehensive list of VAS types reported by migraine patients based on all currently available data from clinical studies, which can be used for testing and validation in future studies. We propose that, based on this work, an official list of VAS types should be developed, preferably within the context of the International Classification of Headache Disorders of the International Headache Society.

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Section: Resultsmentioning

confidence: 95%

Clinical features of visual migraine aura: a systematic review

et al. 2019

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“…Episodes of transient monocular blindness may represent ocular migraine, and the benignity of the event in people under 50 years of age suggests that this is the case. The duration of the episodes in the six patients of Digre (14) was, however, briefer than the typical migraine aura and at least in children, amaurosis fugax is a rare accompaniment of migraine, accounting for only 5% of the visual symptoms of migraine (35). The presence of other transient neurologic symptoms and the appearance of splinter hemorrhages in all patients in which they were sought (n = 4) led the authors to hypothesize that microemboli from intravascular platelet aggregation may be the etiology of the visual symptoms in these antiphospholipid antibodies positive patients.…”

Section: Migraine and Antiphospholipid Antibodiesmentioning

confidence: 83%

Migraine and Antiphospholipid Antibodies

Tietjen

1992

Cephalalgia

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Antiphospholipid antibodies have been detected in patients with transient neurologic symptoms including migraine aura. The role of these antibodies in the pathogenesis of migraine is not fully understood. The available data suggest an association between the migraine-like phenomena and antiphospholipid antibodies, but not between migraine headache and antiphospholipid antibodies. To elucidate the actual role of antiphospholipid antibodies in migraine, prospective, controlled studies are needed.

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“…Many observers state that while positive visual disturbances are the rule in the typical cases of migraine with aura, negative phenomena may also occur in connection with migraine (or migraine-like) attacks. Such negative phenomena include dimness of vision, obscuration, and transi-tory, global anopsia (19,21,(24)(25)(26)(27)(28)(29). In addition, both macropsia and micropsia (22)(23)(24), disturbances as regards judgement of distances, movement of stationery objects ('autokinesis') (22)(23)(24)(25)30), and 'wavelike' metamorphopsia (24) have been described.…”

Section: The Relationship Between Such Visual Phenomena and Migrainementioning

confidence: 99%

Long-Lasting Cephalic Jabs (?) The Vågå Study of Headache Epidemiology

Sjaastad

Pettersen²,

2005

Cephalalgia

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Jabs (stabs) usually last < or = 3 s and are located in the skull area, mostly anteriorly. In many cases, there are only a few jabs during lifetime. With this definition, jabs are frequent, thus at 35.2% in the Vågå study of headache epidemiology. Long-lasting jabs (?), i.e. paroxysms lasting 10-120 s, were present in six out of 1779 parishioners. These pain paroxysms seemed mainly to be side-locked, but could not be provoked. Possibly, these long-lasting jabs after all mainly are regular jabs. To include the < or = 2-minute-long paroxysms among the jabs will necessitate a rather drastic change of criteria. This group of jabs may, nevertheless, be heterogeneous. In two parishioners, the paroxysms were associated with a migraine-like pain. The paroxysms occasionally became most intense (2-10 times the basal pain), and then, and only then, were they combined with stark, visual phenomena: wave-like movements ('undulation'), anopsia, but also: immense dizziness, nausea/vomiting. The nature of the side-locked basal pain, although migraine-like, remains unsolved.

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Visual symptoms in the migraine syndrome

Cited by 101 publications

References 0 publications

Clinical features of visual migraine aura: a systematic review

Clinical features of visual migraine aura: a systematic review

Migraine and Antiphospholipid Antibodies

Long-Lasting Cephalic Jabs (?) The Vågå Study of Headache Epidemiology

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