1/❓But first, a question:
A 28-year-old woman with migraine without aura has 2 attacks/month lasting 8h, and her episodes are relieved by NSAIDs. Would you prescribe her a preventive migraine treatment?
2/❓Let’s suppose the same person has hemiplegic migraine with 1 attack/year. Would you treat her?
1/ Like a breeze 🌬 precedes a storm ⛈, the aura usually precedes the headache in up to 60 min.
But not always.
It can also:
- Occurs alone, not followed by any headache
- Occurs during the headache episode
2/ 👀 Visual symptoms are the most common. They occur in over 90% of patients with migraine with aura, are bilateral and can be either positive (scintillations, flashes, etc.) or negative (like scotomas).