The online version of this article (doi:10.1186/1752-1947-8-61) contains supplementary material, which is available to authorized users.
The authors declare that they have no competing interests.
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.
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.”
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.
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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International Headache Society: Part one: the primary headaches. Cephalalgia. 2004, 24: 23-136.
Evans RW, Aurora SK: Migraine with persistent visual aura. Headache J Head Face Pain. 2012, 52: 494-501. 10.1111/j.1526-4610.2012.02103.x. CrossRef
Goodwin D: Transient complete homonymous hemianopia associated with migraine. Optometry (St Louis, Mo). 2011, 82: 298-305. 10.1016/j.optm.2010.12.012. CrossRef
Hadjikhani N, Sanchez del Rio M, Wu O, Schwartz D, Bakker D, Fischl B, Kwong KK, Cutrer FM, Rosen BR, Tootell RB, Sorensen AG, Moskowitz MA: Mechanisms of migraine aura revealed by functional MRI in human visual cortex. Proc Natl Acad Sci. 2001, 98: 4687-4692. 10.1073/pnas.071582498. CrossRefPubMedPubMedCentral
- Persistent negative visual aura in migraine without headache: a case report
Kwang Deog Jo
Moon Kyu Lee
- BioMed Central