Clinical Significance of Transient Visual Phenomena in the Elderly

Cohen, Geoff; Harbison, John W.; Blair, Charles J.; Ochs, Alfred L.

doi:10.1016/s0161-6420(84)34268-3

Cited by 12 publications

(4 citation statements)

References 20 publications

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“…A history of migraine headaches was elicited in about a third of our patients. This is in accord with other studies 1,[7][8][9]11,13 and may lend weight to a migrainous etiology for the visual loss. 20 Although permanent visual sequelae have been noted in the setting of presumed ocular migraine attacks, [21][22][23] this complication appears to be quite unusual given the number of attacks had by susceptible individuals.…”

Section: Discussionsupporting

confidence: 91%

“…Kupersmith and co-workers 9 noted the beneficial effects of isoproterenol inhalation in aborting retinal migraine attacks in three other patients. O'Connor and Tredici, 10 Cohen and others, 11 and Kunkle 12 have also addressed presumed migrainous blindness in the context of patients with acephalgic migraine and in older patients with transient visual phenomena.…”

Section: Discussionmentioning

confidence: 99%

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Benign Recurrent Transient Monocular Blindness: A Possible Variant of Acephalgic Migraine

Tomsak¹,

Jergens²

1987

Headache

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SYNOPSISTwenty-four patients with benign recurrent transient monocular blindness of possible migrainous etiology are presented. The visual loss was predominantly one-sided and stereotyped in character. Postural change or exercise was a provocative factor in half the cases. Other neurologic symptoms were not present and only one patient developed permanent visual loss during an attack. Evaluation by CT scanning, angiography, echocardiography, and ophthalmodynamometry, when performed, was uniformly normal. (Headache 27:66-69, 1987)

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Benign Recurrent Transient Monocular Blindness: A Possible Variant of Acephalgic Migraine

Tomsak¹,

Jergens²

1987

Headache

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“…These episodes have been recognized as migrainous by several others and have been referred to as "migraine accompaniments," "acephalgic migraine," and "migraine equivalents." [2][3][4][5][6][7][8][9][10][11] The International Headache Society (IHS) classified these episodes as "migraine aura without headache" and published diagnostic criteria in 1988. 12 Our knowledge of migraine accompaniments is largely derived from clinical series.…”

mentioning

confidence: 99%

“…12 Our knowledge of migraine accompaniments is largely derived from clinical series. [1][2][3]9,11 Visual symptoms are the most frequent manifestation. 1,3,6 Typical migrainous visual symptoms include both positive (scintillations, fortification spectra, photopsia) and negative (scotoma, hemianopsia) visual features 6,13,14 and often present as a transient scintillating hemianopic visual disturbance.…”

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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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Neuro-ophthalmic Complications of Interleukin 2 Therapy

Friedman

Sadun

1991

Arch Ophthalmol

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Clinical Significance of Transient Visual Phenomena in the Elderly

Cited by 12 publications

References 20 publications

Benign Recurrent Transient Monocular Blindness: A Possible Variant of Acephalgic Migraine

Benign Recurrent Transient Monocular Blindness: A Possible Variant of Acephalgic Migraine

Migrainous Visual Accompaniments Are Not Rare in Late Life

Neuro-ophthalmic Complications of Interleukin 2 Therapy

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