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Aura and Other Neurologic Dysfunction in or with Migraine
Author(s) -
Kissoon Narayan R.,
Cutrer Fred Michael
Publication year - 2017
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1111/head.13101
Subject(s) - aura , migraine , cortical spreading depression , migraine with aura , headaches , medicine , neuroscience , depression (economics) , anesthesia , psychology , psychiatry , economics , macroeconomics
Premise Migraine can present with a wide range of neurological symptoms. Problem Based on currently available data, the symptoms of typical migraine aura are most likely related to cortical spreading depression (CSD), and evidence supports that CSD can lead to trigeminovascular activation resulting in the headache phase of migraine. Potential Solution An alternative diagnosis to migraine aura should be considered if migrainous headaches present with transient neurological symptoms that have features inconsistent with aura.