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.

  • 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.

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.

  • 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.

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.

  • 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.

Rahsan Gocmen - 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.

  • 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.

C. P. Panayiotopoulos - One of the best experts on this subject based on the ideXlab platform.

  • Migraine triggered seizures and epilepsy triggered headache and Migraine attacks: a need for re-assessment
    The Journal of Headache and Pain, 2011
    Co-Authors: P Davies, C. P. Panayiotopoulos
    Abstract:

    In this issue of the Journal, Belcastro and associates review terminology and classification issues for migralepsy, hemicrania epileptica, post-ictal and ictal headache [1]. They raise key points such as ictal headache and visual seizures are often misdiagnosed as Migraine, “migralepsy” is unlikely to exist and an “epilepsy-Migraine sequence” is much more common and well documented than the dominant view of a “Migraine-epilepsy sequence”. Their relevant proposals need appropriate attention by the committee of the international classification of headache disorders (ICHD) as well as the physicians in their clinical practice because of the consequences that misdiagnosis may have on patients. Misdiagnosis between epilepsy and Migraine is considerable though their differentiation should not be difficult on clinical grounds [2]. The problem is that emphasis is unduly placed on individual symptoms, rather than on a comprehensive synthetic analysis of their quality, chronological sequence and other clustering features. There are many examples of such errors where visual seizures are unquestionably diagnosed as Acephalgic Migraine and more often Migraine with aura (if seizures are followed by post-ictal headache) or basilar Migraine with occipital paroxysms (which does not exist, because this is a syndrome of idiopathic childhood occipital epilepsy). Elementary visual hallucinations of occipital seizures develop rapidly within seconds, are brief in duration (2–3 min), are usually coloured and circular. These are fundamentally different from the visual aura of Migraine, which develops slowly in minutes, is longer lasting (≥5 min) and mainly achromatic with linear patterns [3].

  • Acephalgic Migraine or childhood occipital seizures
    Neurology, 1997
    Co-Authors: C. P. Panayiotopoulos, Ahmed I. Sharoqi, A. Agathonikou
    Abstract:

    To the Editor: Shevell1 reported a girl with daily brief (up to 5 minutes) episodes of visual hallucinations with \`little white spots and flashes of various colors' and \`metamorphopsia'. He concluded that`no other diagnosis seems plausible' than Acephalgic Migraine. We argue that this child's symptoms would favor benign childhood occipital seizures (BCOS) rather than Migraine. The differential diagnosis of BCOS from basilar Migraine and Migraine with aura has been detailed.2-4 The difficulties in their differentiation are shown by the fact that the first account5 compatible with what is now established as BCOS6-8 classified this type of epilepsy as basilar Migraine. Although the epileptic nature of BCOS was evident from the occipital spikes, the clinical manifestations …