A member asked:

I keep seeing jagged flashes of lightning bolts that shimmer around an object followed by an intense headache. are these hallucinations?

4 doctors weighed in across 3 answers
Dr. Jeff Livingston answered

Specializes in Obstetrics and Gynecology

No: These are not hallucinations and you need to be seen by a doctor. Seeing lightning bolts can mean there is eye problem like a torn retina or neurologic problem like a migraine. If you are pregnant, visual changes associated with a headache can indicate a serious complication called pre eclampsia. If you have these symptoms it is very important you see a doctor for further evaluation.

Answered 4/23/2018

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Migraine: This is most likely a manifestation of occipital migraine. It can also rarely be a type of minimal seizure. The next time it happens, if you see the phenomenon in 1/2 of the field of view the same in each eye (cover one eye and then the other), then it is almost certainly migraine. If it does not have this pattern, then you should see a neurologist for evaluation.

Answered 11/26/2016

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Dr. Mark Fisher answered

Specializes in Neurology

Most likely migraine: What you are describing is, in a sense, a hallucination. It is actually a nearly-textbook description of a "scintillating scotoma," which is one manifestation of a migraine aura. Most auras are visual phenomena, although any sensory modality can be affected. They are not dangerous & treating the headache treats the aura as well. See your doctor & educate yourself about migraine headache.

Answered 5/5/2019

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