Doctor insights on:
Ocular Migraines Without Headache
The medical term is cephalalgia. It is a feeling of pain that can occur on either both sides or just one side of the head or neck. Headaches can be sharp, dull, or throbbing, and can radiate to different areas of the head. They typically last less than an hour but can ...Read more
44yo new onset migraines with aura. Inbetween migraines, having palinopsia, photophobia and vertigo spells. Vestibular migraines or something else?
Possible: Migraines can cause virtually any neurological symptoms. The rule out thumb is, rule out more serious causes first, so if you have not sought an evaluation yet, please do so. ...Read more
Spreading depression: We believe that migraine proceeds from the back of brain forwards with a neuronal inhibition starting over the occipital lobe, and mediated by changes in the brain stem, especially locus ceruleus. The visual process is not retinal, but brain mediated, and the term is called "spreading depression of leao". ...Read moreSee 3 more doctor answers
Ocular migraines!: They lack the severe headache as common migraines. The symptoms are usually all or mostly visual and are typically described as flashing of light or ziz-zag lights in the vision. They usually last less than 30 minutes and affect the vision out of both eyes. Dehydration in possible, as well as stress, or something in your diet - Caffeine, chocolate, etc. ...Read moreSee 1 more doctor answer
Migraine: I hear it all the time: "I got sinus, doc." They're wrong. That's a myth perpetrated back in the decades of "postnasal drip" i.e. the 50s & 60s by the advertisers of Dristan. 99% of all "sinus" headaches - aren't. They're mostly migraines. If you have radiological proof of sinusitis and your pain goes away if it's treated, then you're entitled to the diagnosis of sinus headaches. Otherwise, not. ...Read moreSee 1 more doctor answer
Yes, very often: Visual distortions are often part of the aura that precedes the onset of headache in patient with classical migraines. Use this! often, if you take your abortive medication as soon as the aura starts, you will be able to stop the headache before it becomes debilitating. Remember- earlier is better! ...Read moreSee 1 more doctor answer
Aura Varies: Aura are commonly visual but can involve other senses. Aura typically last 10-30 minutes and some patients never experience this stage of migraine. Migraines progress through four stages - prodrome, aura, attack & postdrome. Aura aren't the same for everyone and vary from bright flashing lights to partial vision loss. Aura typically occur before migraine but can occur concurrently with the pain. ...Read more
Migraine treatment: Once a diagnosis of migraine has been made, effective management of migraine involves three specific strategies: 1) patient education, 2) nonpharmacological management, and 3) pharmacological (medical) management. See an orofacial pain or headache specialist for evaluation and professional management. ...Read moreSee 1 more doctor answer
What are the preheadache, headache, and postheadache symptoms of migraine. Can you have a migraine without nausea and aura?
Migraine is variable: Migraine headache may be associated with a prodrome ( symptoms that precede the headache by 48 hours or so), and / or an aura ( a focal neurologic symptom- often visual- sparkly jagged lines, etc.) that heralds the headache. Not all migraines cause nausea and many do not have an aura, in fact some migraines have an aura but no headache! postheadache symptoms often include fatigue. ...Read more
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