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Acephalgic Migraine

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Deborah I Friedman – One of the best experts on this subject based on the ideXlab platform.

  • Current Aura Without Headache
    Current Pain and Headache Reports, 2018
    Co-Authors: Divya R. Shah, Sonam Dilwali, Deborah I Friedman

    Abstract:

    Purpose of Review This review evaluates and explains our current understanding of a rare subtype of Migraine, typical aura without headache, also known as Migraine aura without headache or Acephalgic Migraine. Recent Findings Typical aura without headache is a known entity within the spectrum of Migraine. Its pathophysiology is suggested to be similar to classic Migraines, with cortical spreading depression leading to aura formation but without an associated headache. No clinical trials have been performed to evaluate treatment options, but case reports suggest that most patients will respond to the traditional treatments for Migraine with aura. Bilateral greater occipital nerve blocks may be helpful in aborting Migraine with prolonged aura. Transcranial magnetic stimulation has shown efficacy in aborting attacks of Migraine with aura but has not been specifically tested in isolated aura. Summary Typical aura without headache occurs exclusively in 4% patients with Migraine, and may take place at some point in 38% of patients with Migraine with aura. Typical aura without headache commonly presents with visual aura without headache, brainstem aura without headache, and can also develop later in life, known as late-onset Migraine accompaniment.

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  • Current Aura Without Headache
    Current Pain and Headache Reports, 2018
    Co-Authors: Divya R. Shah, Sonam Dilwali, Deborah I Friedman

    Abstract:

    This review evaluates and explains our current understanding of a rare subtype of Migraine, typical aura without headache, also known as Migraine aura without headache or Acephalgic Migraine. Typical aura without headache is a known entity within the spectrum of Migraine. Its pathophysiology is suggested to be similar to classic Migraines, with cortical spreading depression leading to aura formation but without an associated headache. No clinical trials have been performed to evaluate treatment options, but case reports suggest that most patients will respond to the traditional treatments for Migraine with aura. Bilateral greater occipital nerve blocks may be helpful in aborting Migraine with prolonged aura. Transcranial magnetic stimulation has shown efficacy in aborting attacks of Migraine with aura but has not been specifically tested in isolated aura. Typical aura without headache occurs exclusively in 4% patients with Migraine, and may take place at some point in 38% of patients with Migraine with aura. Typical aura without headache commonly presents with visual aura without headache, brainstem aura without headache, and can also develop later in life, known as late-onset Migraine accompaniment.

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Goknur Haliloglu – One of the best experts on this subject based on the ideXlab platform.

  • Susceptibility-Weighted Magnetic Resonance Imaging Findings of Two Pediatric Migraine Patients with Aura.
    Neuropediatrics, 2015
    Co-Authors: Rahsan Gocmen, Ceren Günbey, Ethem Murat Arsava, Kader Karli Oguz, Goknur Haliloglu

    Abstract:

    Objective  Migraine with aura is considered common during the pediatric age and in some cases it could be hard to distinguish Migraine from mimicking conditions. We would like to emphasize the role of susceptibility-weighted imaging (SWI) in pediatric Migraine patients with aura. Methods  We retrospectively reviewed the clinical and SWI findings of two pediatric Migraine patients with aura. Results  Initial SWI of two pediatric Migraine patients with aura demonstrated venous conspicuity in the left cerebral hemisphere and follow-up SWI of them showed normal findings with symmetrical venous vasculature. Conclusion  Beyond routine work-up techniques, SWI in combination with diffusion-weighted imaging is helpful for differentiation from acute ischemic stroke, especially in the setting of Acephalgic Migraine. Multimodality imaging may also be helpful in elucidating the underlying pathophysiologic mechanisms of Migraine in the pediatric age group.

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  • Susceptibility-Weighted Magnetic Resonance Imaging Findings of Two Pediatric Migraine Patients with Aura.
    Neuropediatrics, 2015
    Co-Authors: Rahsan Gocmen, Ceren Günbey, Ethem Murat Arsava, Kader Karli Oguz, Goknur Haliloglu

    Abstract:

    Migraine with aura is considered common during the pediatric age and in some cases it could be hard to distinguish Migraine from mimicking conditions. We would like to emphasize the role of susceptibility-weighted imaging (SWI) in pediatric Migraine patients with aura.
    We retrospectively reviewed the clinical and SWI findings of two pediatric Migraine patients with aura.
    Initial SWI of two pediatric Migraine patients with aura demonstrated venous conspicuity in the left cerebral hemisphere and follow-up SWI of them showed normal findings with symmetrical venous vasculature.
    Beyond routine work-up techniques, SWI in combination with diffusion-weighted imaging is helpful for differentiation from acute ischemic stroke, especially in the setting of Acephalgic Migraine. Multimodality imaging may also be helpful in elucidating the underlying pathophysiologic mechanisms of Migraine in the pediatric age group.
    Georg Thieme Verlag KG Stuttgart · New York.

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Divya R. Shah – One of the best experts on this subject based on the ideXlab platform.

  • Current Aura Without Headache
    Current Pain and Headache Reports, 2018
    Co-Authors: Divya R. Shah, Sonam Dilwali, Deborah I Friedman

    Abstract:

    Purpose of Review This review evaluates and explains our current understanding of a rare subtype of Migraine, typical aura without headache, also known as Migraine aura without headache or Acephalgic Migraine. Recent Findings Typical aura without headache is a known entity within the spectrum of Migraine. Its pathophysiology is suggested to be similar to classic Migraines, with cortical spreading depression leading to aura formation but without an associated headache. No clinical trials have been performed to evaluate treatment options, but case reports suggest that most patients will respond to the traditional treatments for Migraine with aura. Bilateral greater occipital nerve blocks may be helpful in aborting Migraine with prolonged aura. Transcranial magnetic stimulation has shown efficacy in aborting attacks of Migraine with aura but has not been specifically tested in isolated aura. Summary Typical aura without headache occurs exclusively in 4% patients with Migraine, and may take place at some point in 38% of patients with Migraine with aura. Typical aura without headache commonly presents with visual aura without headache, brainstem aura without headache, and can also develop later in life, known as late-onset Migraine accompaniment.

    Free Register to Access Article

  • Current Aura Without Headache
    Current Pain and Headache Reports, 2018
    Co-Authors: Divya R. Shah, Sonam Dilwali, Deborah I Friedman

    Abstract:

    This review evaluates and explains our current understanding of a rare subtype of Migraine, typical aura without headache, also known as Migraine aura without headache or Acephalgic Migraine. Typical aura without headache is a known entity within the spectrum of Migraine. Its pathophysiology is suggested to be similar to classic Migraines, with cortical spreading depression leading to aura formation but without an associated headache. No clinical trials have been performed to evaluate treatment options, but case reports suggest that most patients will respond to the traditional treatments for Migraine with aura. Bilateral greater occipital nerve blocks may be helpful in aborting Migraine with prolonged aura. Transcranial magnetic stimulation has shown efficacy in aborting attacks of Migraine with aura but has not been specifically tested in isolated aura. Typical aura without headache occurs exclusively in 4% patients with Migraine, and may take place at some point in 38% of patients with Migraine with aura. Typical aura without headache commonly presents with visual aura without headache, brainstem aura without headache, and can also develop later in life, known as late-onset Migraine accompaniment.

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