An Unusual Case of Migraine Accompaniments With Permanent Sequela ‐ A Case Report

Fisher, Charles K.

doi:10.1111/j.1526-4610.1986.hed2606266.x

Cited by 5 publications

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References 3 publications

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“…1 In one study, 22 vascular events occurred in 1 of 50 cases (2%) of "migraine aura without headache" compared with 5 of 50 (10%) in age-matched controls with TIA. However, there are occasional reports of ischemic 4,23 and hemorrhagic 24 cerebral infarction associated with migraine accompaniments. In addition, migraine has been identified as an independent risk factor for ischemic stroke in men older than 40 years 25 and in women younger than 45 years.…”

Section: Discussionmentioning

confidence: 99%

Migrainous Visual Accompaniments Are Not Rare in Late Life

Wijman

Wolf

Kase

et al. 1998

Stroke

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Background and Purpose-Questionnaires to elicit symptoms of transient ischemic attacks (TIAs) may detect late-life transient visual symptoms similar to the visual aura of migraine, often without headache. We determined the frequency, characteristics, and stroke outcome of these symptoms in the Framingham Study. Methods- During 1971During -1989, at biennial examinations, 2110 subjects of the Framingham cohort were systematically queried about the occurrence of sudden visual symptoms. Results-Visual migrainous symptoms were reported by 1.23% (26/2110) of subjects (1.33% of women and 1.08% of men). In 65% of subjects the episodes were stereotyped, and they began after age 50 years in 77%. MeanϮSD age at onset of the episodes was 56.2Ϯ18.7 years. In 58% of subjects the episodes were never accompanied by headaches, and 42% had no headache history. The number of episodes ranged from 1 to 500 and was 10 or more in 69% of subjects. The episodes lasted 15 to 60 minutes in 50% of subjects. Sixty-five percent of the subjects were examined by a study neurologist, and only 19% of them met the criteria of the International Headache Society. Twelve percent of subjects sustained a stroke after the onset of migrainous visual symptoms: a subarachnoid hemorrhage 1 year later, an atherothrombotic brain stem infarct 3 years later, and a cardioembolic stroke 27 years later. In contrast, of 87 subjects with TIAs in the same cohort, 33% developed a stroke (Pϭ0.030), two thirds within 6 months of TIA onset. Conclusions-Late-life-onset transient visual phenomena similar to the visual aura of migraine are not rare and often occur in the absence of headache. These symptoms appear not to be associated with an increased risk of stroke, and invasive diagnostic procedures or therapeutic measures are generally not indicated. (Stroke. 1998;29:1539-1543.)

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Section: Discussionmentioning

confidence: 99%

Migrainous Visual Accompaniments Are Not Rare in Late Life

Wijman

Wolf

Kase

et al. 1998

Stroke

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Wahrnehmungsstörungen bei Migräne

Spitzer

1988

Schmerz

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Perceptual disorders in patients with migraine are common and therefore well known in the optic sense. However, a review of the literature reveals a variety of perceptual phenomena with regard to all of the senses as well as disturbances in body image and physical sensations. The criteria for interpreting these phenomena in the context of migraine disorder, even if they are not accompanied by headache, are: the reaction to migraine therapy; previous occurrence, together with a migraine headache; a family history of migraine. From a psychopathological perspective, selected features of the phenomena and questions regarding terminology are discussed: the phenomena should be referred to as hallucinations, the headache itself is real and should not be called a hallucination.

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Multisensory hallucinations and other unusual sensory experiences in the context of migraine: a systematic review

Li,

Yolland,

Rossell

et al. 2024

J Neurol

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Objective and background Visual auras in migraine have been extensively studied, but less is known about multisensory hallucinations or other unusual sensory experiences, including whether these should be diagnostically considered as part of aura symptoms. The current study aimed to conduct a systematic review and synthesis to bring together existing empirical evidence on these non-visual perceptual experiences, focusing on their phenomenological descriptions and clinical correlates. Methods Forty-eight relevant studies were included based on a systematic search across PsycINFO APA and Web of Science, for peer-reviewed publications in the English language, from 1980 to the present. These comprised a mix of case reports/series (n = 19) and group design studies (n = 29). Results Reports of complex multisensory hallucinations, beyond typical established aura symptoms, were numerous and varied in nature. Yet there were limited data on how this related to patient distress and functional interference. Other sensory distortions or hypersensitivities across non-visual domains were also evident, and generally more common in those with established aura symptoms. Conclusion Our findings provide preliminary evidence that multisensory hallucinations and other unusual perceptual experiences in migraine are likely more common than previously believed. Further investigations are needed to appropriately account for these symptoms within current nosological systems. Increased clinician–patient awareness is important for managing distress (where necessary), and potentially for offering a holistic therapeutic approach to migraine management.

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An Unusual Case of Migraine Accompaniments With Permanent Sequela ‐ A Case Report

Cited by 5 publications

References 3 publications

Migrainous Visual Accompaniments Are Not Rare in Late Life

Migrainous Visual Accompaniments Are Not Rare in Late Life

Wahrnehmungsstörungen bei Migräne

Multisensory hallucinations and other unusual sensory experiences in the context of migraine: a systematic review

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