The Experts below are selected from a list of 216 Experts worldwide ranked by ideXlab platform
Richard B. Lipton - One of the best experts on this subject based on the ideXlab platform.
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Retinal Migraine reappraised
Cephalalgia, 2006Co-Authors: Brian M. Grosberg, Richard B. Lipton, Scott D Solomon, Deborah I FriedmanAbstract:Retinal Migraine is usually characterized by attacks of fully reversible monocular visual loss associated with Migraine headache. Herein we summarize the clinical features and prognosis of 46 patients (six new cases and 40 from the literature) with Retinal Migraine based upon the International Classification of Headache Disorders-2 (ICHD-2) criteria. In our review, Retinal Migraine is most common in women in the second to third decade of life. Contrary to ICHD-2 criteria, most have a history of Migraine with aura. In the typical attack monocular visual features consist of partial or complete visual loss lasting <1 h, ipsilateral to the headache. Nearly half of reported cases with recurrent transient monocular visual loss subsequently experienced permanent monocular visual loss. Although the ICHD-2 diagnostic criteria for Retinal Migraine require reversible visual loss, our findings suggest that irreversible visual loss is part of the Retinal Migraine spectrum, perhaps representing an ocular form of migrainous infarction. Based on this observation, the authors recommend Migraine prophylactic treatment in an attempt to prevent permanent visual loss, even if attacks are infrequent. We also propose a revision to the ICHD-2 diagnostic criteria for Retinal Migraine.
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Retinal Migraine Reappraised
Cephalalgia : an international journal of headache, 2006Co-Authors: Brian M. Grosberg, Seymour Solomon, Deborah I Friedman, Richard B. LiptonAbstract:Retinal Migraine is usually characterized by attacks of fully reversible monocular visual loss associated with Migraine headache. Herein we summarize the clinical features and prognosis of 46 patients (six new cases and 40 from the literature) with Retinal Migraine based upon the International Classification of Headache Disorders-2 (ICHD-2) criteria. In our review, Retinal Migraine is most common in women in the second to third decade of life. Contrary to ICHD-2 criteria, most have a history of Migraine with aura. In the typical attack monocular visual features consist of partial or complete visual loss lasting
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Retinal Migraine
Current Pain and Headache Reports, 2005Co-Authors: Brian M. Grosberg, Seymour Solomon, Richard B. LiptonAbstract:Retinal Migraine is a primary headache disorder, clinically manifested by attacks of transient monocular visual loss associated with Migraine headache. Although isolated reports suggest that Retinal Migraine is rare, it likely is under-recognized. Retinal Migraine usually is reported in women of childbearing age who have a history of Migraine with aura. It typically is characterized by negative monocular visual phenomena lasting less than 1 hour. More than half of reported cases with recurrent transient monocular visual loss subsequently experienced permanent monocular visual loss. Although the International Headache Society diagnostic criteria for Retinal Migraine require reversible visual loss, our findings suggest that irreversible visual loss is part of the Retinal Migraine spectrum, likely representing an ocular form of migrainous infarction.
Brian M. Grosberg - One of the best experts on this subject based on the ideXlab platform.
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Retinal Migraine: Migraine associated with monocular visual symptoms.
Headache, 2007Co-Authors: Randolph W. Evans, Brian M. GrosbergAbstract:This 25-year-old man reports a 12-year history ofsimilar headaches occurring about one or 2 timesmonthly.He develops a left or right temple throbbingwhich is mild at first and later becomes a 10/10 asso-ciated with nausea, vomiting, light and noise sensitiv-ity. About 30 minutes after the onset of all of theheadaches, he develops sudden total darkness wherehe cannot see in the eye contralateral to the headachelasting about 4 hours. The headache is severe forabout 5 hours and then mild for 24 to 36 hours.Aspirin or acetaminophen is of mild help. Hetries to go to bed. He had never seen a physician forthe headaches before.Past medical history was negative. There was nofamily history of Migraine. Neurological examinationwas normal.
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Retinal Migraine reappraised
Cephalalgia, 2006Co-Authors: Brian M. Grosberg, Richard B. Lipton, Scott D Solomon, Deborah I FriedmanAbstract:Retinal Migraine is usually characterized by attacks of fully reversible monocular visual loss associated with Migraine headache. Herein we summarize the clinical features and prognosis of 46 patients (six new cases and 40 from the literature) with Retinal Migraine based upon the International Classification of Headache Disorders-2 (ICHD-2) criteria. In our review, Retinal Migraine is most common in women in the second to third decade of life. Contrary to ICHD-2 criteria, most have a history of Migraine with aura. In the typical attack monocular visual features consist of partial or complete visual loss lasting <1 h, ipsilateral to the headache. Nearly half of reported cases with recurrent transient monocular visual loss subsequently experienced permanent monocular visual loss. Although the ICHD-2 diagnostic criteria for Retinal Migraine require reversible visual loss, our findings suggest that irreversible visual loss is part of the Retinal Migraine spectrum, perhaps representing an ocular form of migrainous infarction. Based on this observation, the authors recommend Migraine prophylactic treatment in an attempt to prevent permanent visual loss, even if attacks are infrequent. We also propose a revision to the ICHD-2 diagnostic criteria for Retinal Migraine.
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Retinal Migraine Reappraised
Cephalalgia : an international journal of headache, 2006Co-Authors: Brian M. Grosberg, Seymour Solomon, Deborah I Friedman, Richard B. LiptonAbstract:Retinal Migraine is usually characterized by attacks of fully reversible monocular visual loss associated with Migraine headache. Herein we summarize the clinical features and prognosis of 46 patients (six new cases and 40 from the literature) with Retinal Migraine based upon the International Classification of Headache Disorders-2 (ICHD-2) criteria. In our review, Retinal Migraine is most common in women in the second to third decade of life. Contrary to ICHD-2 criteria, most have a history of Migraine with aura. In the typical attack monocular visual features consist of partial or complete visual loss lasting
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Retinal Migraine
Current Pain and Headache Reports, 2005Co-Authors: Brian M. Grosberg, Seymour Solomon, Richard B. LiptonAbstract:Retinal Migraine is a primary headache disorder, clinically manifested by attacks of transient monocular visual loss associated with Migraine headache. Although isolated reports suggest that Retinal Migraine is rare, it likely is under-recognized. Retinal Migraine usually is reported in women of childbearing age who have a history of Migraine with aura. It typically is characterized by negative monocular visual phenomena lasting less than 1 hour. More than half of reported cases with recurrent transient monocular visual loss subsequently experienced permanent monocular visual loss. Although the International Headache Society diagnostic criteria for Retinal Migraine require reversible visual loss, our findings suggest that irreversible visual loss is part of the Retinal Migraine spectrum, likely representing an ocular form of migrainous infarction.
Randolph W. Evans - One of the best experts on this subject based on the ideXlab platform.
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Expert opinion: sexual intercourse followed by headache and transient monocular visual loss.
Headache, 2008Co-Authors: Randolph W. Evans, Kenneth L. MooreAbstract:CLINICAL HISTORY Thirty minutes after sexual intercourse, this 48-year-old woman noticed a slight headache on the top of her head. Fifteen minutes later, she developed a severe left-sided throbbing headache with visual symptoms but without nausea, light, or noise sensitivity. She had a sudden warm liquid feeling in the left eye and then vision in the inferior field of the left eye became dark and, within about 3 seconds, vision in the entire field of the left eye was dark.The vision cleared completely in a segmental fashion in about 30 to 45 minutes. Acetaminophen with codeine decreased the intensity of the headache. A computerized tomography (CT) of the brain without contrast performed about 2 hours after the onset of the symptoms was negative. When I saw her the next afternoon, the left-sided headache was slight. She had no further visual symptoms. She reported a 26-year history of headaches about once or twice per month described as a top or back of the head throbbing with light and noise sensitivity decreased by acetaminophen with codeine and lasting about 8 hours. Her menses was a common trigger. Past medical history was negative. Blood pressure and pulse were normal. There were no carotid bruits. Cardiac auscultation was normal. The neurological examination was normal. Questions.—Is this a case of Retinal Migraine? Is further testing indicated?
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Retinal Migraine: Migraine associated with monocular visual symptoms.
Headache, 2007Co-Authors: Randolph W. Evans, Brian M. GrosbergAbstract:This 25-year-old man reports a 12-year history ofsimilar headaches occurring about one or 2 timesmonthly.He develops a left or right temple throbbingwhich is mild at first and later becomes a 10/10 asso-ciated with nausea, vomiting, light and noise sensitiv-ity. About 30 minutes after the onset of all of theheadaches, he develops sudden total darkness wherehe cannot see in the eye contralateral to the headachelasting about 4 hours. The headache is severe forabout 5 hours and then mild for 24 to 36 hours.Aspirin or acetaminophen is of mild help. Hetries to go to bed. He had never seen a physician forthe headaches before.Past medical history was negative. There was nofamily history of Migraine. Neurological examinationwas normal.
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Monocular Visual Aura With Headache: Retinal Migraine?
Headache, 2000Co-Authors: Randolph W. Evans, Robert B. DaroffAbstract:CLINICAL HISTORY A 38-year-old woman developed a mild pressure sensation behind the right eye that did not improve with sinus medications. After a constant mild headache (2 of 10 in intensity) for 4 days, she developed a visual disturbance in the right eye only. (She performed a cover-uncover test on herself.) The visual complaint began with a pinpoint colored kaleidoscope in the center of her vision for 15 minutes, which expanded with a tail for about 15 minutes, and then enlarging swirls involved the entire visual field of the right eye lasting for about a half hour. The swirls then suddenly went away without breaking up. Normal vision returned and has persisted since. As the swirls enlarged, the right retroorbital pain intensified and become sharp (8 of 10 in intensity) for about 2 hours and 45 minutes. When the swirls resolved, the headache became mild again and resolved completely about 5 hours later. The patient had no other associated neurological symptoms. The only headaches she had ever previously had were of the hangover type following excessive alcohol intake. She drinks a glass of red wine daily. Her family history is negative for Migraine. She has no history of hypertension, hyperlipidemia, diabetes, or heart disease. She had been on a diet for 2 months with a 22-lb weight loss while taking diethylpropion, 25 mg, three times a day. The findings of a general physical examination were normal, as was her blood pressure. The carotid pulses were 2 1 and symmetrical without bruits. She had a regular cardiac rhythm without a murmur or click. The results of the neurological examination were normal. The findings of an ophthalmological examination by a retina specialist were normal. Questions.— What is the diagnosis? What, if any, diagnostic testing should be performed?
Seymour Solomon - One of the best experts on this subject based on the ideXlab platform.
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Retinal Migraine Reappraised
Cephalalgia : an international journal of headache, 2006Co-Authors: Brian M. Grosberg, Seymour Solomon, Deborah I Friedman, Richard B. LiptonAbstract:Retinal Migraine is usually characterized by attacks of fully reversible monocular visual loss associated with Migraine headache. Herein we summarize the clinical features and prognosis of 46 patients (six new cases and 40 from the literature) with Retinal Migraine based upon the International Classification of Headache Disorders-2 (ICHD-2) criteria. In our review, Retinal Migraine is most common in women in the second to third decade of life. Contrary to ICHD-2 criteria, most have a history of Migraine with aura. In the typical attack monocular visual features consist of partial or complete visual loss lasting
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Retinal Migraine
Current Pain and Headache Reports, 2005Co-Authors: Brian M. Grosberg, Seymour Solomon, Richard B. LiptonAbstract:Retinal Migraine is a primary headache disorder, clinically manifested by attacks of transient monocular visual loss associated with Migraine headache. Although isolated reports suggest that Retinal Migraine is rare, it likely is under-recognized. Retinal Migraine usually is reported in women of childbearing age who have a history of Migraine with aura. It typically is characterized by negative monocular visual phenomena lasting less than 1 hour. More than half of reported cases with recurrent transient monocular visual loss subsequently experienced permanent monocular visual loss. Although the International Headache Society diagnostic criteria for Retinal Migraine require reversible visual loss, our findings suggest that irreversible visual loss is part of the Retinal Migraine spectrum, likely representing an ocular form of migrainous infarction.
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Migraine variants
Current Pain and Headache Reports, 2001Co-Authors: Seymour SolomonAbstract:The term "migrant variant" is not used in the headache classification of the International Headache Society (IHS), but it includes those forms of Migraine that are not typical of Migraine with or without aura. Headaches that do not quite fulfill all of the IHS criteria are termed "migrainous disorder." Migraine associated with auras arising from unusual sites includes basilar Migraine, Retinal Migraine, and ophthalmoplegic Migraine. Two of the chromosomal sites for hemiplegic Migraine have been identified. Migraine aura may occur without headache and an aura may be prolonged. Migrainous infarct has occurred when the aura lasts more than 1 week or imaging studies are positive and other etiologies have been ruled out. If the Migraine attack is prolonged beyond 3 days the term "status migrainousus" is applied.
Robert B. Daroff - One of the best experts on this subject based on the ideXlab platform.
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Most cases labeled as "Retinal Migraine" are not Migraine.
Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society, 2007Co-Authors: Donna L Hill, Robert B. Daroff, Anne Ducros, Nancy J. Newman, Valérie BiousseAbstract:Background: Monocular visual loss has often been labeled ‘‘Retinal Migraine.’’ Yet there is reason to believe that many such cases do not meet the criteria set out by the International Headache Society (IHS), which defines ‘‘Retinal Migraine’’ as attacks of fully reversible monocular visual disturbance associated with Migraine headache and a normal neuroophthalmic examination between attacks. Methods: We performed a literature search of articles mentioning ‘‘Retinal Migraine,’’ ‘‘anterior visual pathway Migraine,’’ ‘‘monocular Migraine,’’ ‘‘ocular Migraine,’’ ‘‘Retinal vasospasm,’’ ‘‘transient monocular visual loss,’’ and ‘‘Retinal spreading depression’’ using Medline and older textbooks. We applied the IHS criteria for Retinal Migraine to all cases so labeled. To be included as definite Retinal Migraine, patients were required to have had at least two episodes of transient monocular visual loss associated with, or followed by, a headache with migrainous features. Results: Only 16 patients with transient monocular visual loss had clinical manifestations consistent with Retinal Migraine. Only 5 of these patients met the IHS criteria for definite Retinal Migraine. No patient with permanent visual loss met the IHS criteria for Retinal Migraine. Conclusions: Definite Retinal Migraine, as defined by the IHS criteria, is an exceedingly rare cause of transient monocular visual loss. There are no convincing reports of permanent monocular visual loss associated with Migraine. Most cases of transient monocular visual loss diagnosed as Retinal Migraine would more properly be diagnosed as ‘‘presumed Retinal vasospasm.’’ (J Neuro-Ophthalmol 2007;27:3–8)
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Monocular Visual Aura With Headache: Retinal Migraine?
Headache, 2000Co-Authors: Randolph W. Evans, Robert B. DaroffAbstract:CLINICAL HISTORY A 38-year-old woman developed a mild pressure sensation behind the right eye that did not improve with sinus medications. After a constant mild headache (2 of 10 in intensity) for 4 days, she developed a visual disturbance in the right eye only. (She performed a cover-uncover test on herself.) The visual complaint began with a pinpoint colored kaleidoscope in the center of her vision for 15 minutes, which expanded with a tail for about 15 minutes, and then enlarging swirls involved the entire visual field of the right eye lasting for about a half hour. The swirls then suddenly went away without breaking up. Normal vision returned and has persisted since. As the swirls enlarged, the right retroorbital pain intensified and become sharp (8 of 10 in intensity) for about 2 hours and 45 minutes. When the swirls resolved, the headache became mild again and resolved completely about 5 hours later. The patient had no other associated neurological symptoms. The only headaches she had ever previously had were of the hangover type following excessive alcohol intake. She drinks a glass of red wine daily. Her family history is negative for Migraine. She has no history of hypertension, hyperlipidemia, diabetes, or heart disease. She had been on a diet for 2 months with a 22-lb weight loss while taking diethylpropion, 25 mg, three times a day. The findings of a general physical examination were normal, as was her blood pressure. The carotid pulses were 2 1 and symmetrical without bruits. She had a regular cardiac rhythm without a murmur or click. The results of the neurological examination were normal. The findings of an ophthalmological examination by a retina specialist were normal. Questions.— What is the diagnosis? What, if any, diagnostic testing should be performed?