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01.12.2014 | Case report | Ausgabe 1/2014 Open Access

Journal of Medical Case Reports 1/2014

Persistent negative visual aura in migraine without headache: a case report

Zeitschrift:
Journal of Medical Case Reports > Ausgabe 1/2014
Autoren:
Jisun Lim, Kwang Deog Jo, Moon Kyu Lee, Wooyoung Jang
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1752-1947-8-61) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

JL carried out the research project (conception, organisation and execution), statistical analysis (design and execution) and wrote the first draft. KDJ carried out the research project (execution and acquisition of data) and reviewed and critiqued this report. MKL carried out the research project (execution and acquisition of data) and reviewed and critiqued this report. WJ carried out the research project (conception, organisation, and execution), statistical analysis (design, execution and review), drafted, reviewed and critiqued this report. All authors read and approved the final manuscript.

Abstract

Introduction

Persistent migraine aura without headache is an extremely rare condition. The International Headache Society defines various subtypes of migraines, including “persistent migraine aura without infarction” and “typical aura without headache.”

Case presentation

We describe the case of a 21-year-old Asian woman with a history of migraine without aura who had (as her first aura episode) persistent negative visual symptoms without headache for 6 months. We detected no lesions that could cause her persistent visual symptoms. Based on the patient’s history of migraine without aura and responsiveness to furosemide and lamotrigine, we concluded that the visual symptoms in this case were related to migraine visual auras.

Conclusions

Persistent visual aura without headache overlapped the criteria for the two migraine subtypes mentioned above and thus did not fit an exact diagnosis. Therefore, we assert that new criteria are needed to encompass uncertain visual symptoms of migraine aura.

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Authors’ original file for figure 1
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