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

Journal of Medical Case Reports

Wooyoung Jang¹  Moon Kyu Lee¹  Kwang Deog Jo¹  Jisun Lim² 

[1] Department of Neurology, Gangneung Asan Hospital, University of Ulsan College of Medicine, Bangdong-ri, Sacheon-myeon, Gangneung-si, Gangwon-do 210-711, Republic of Korea;Department of Family Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea

关键词: Migraine;    Headache;    Criteria;    Cortical spreading depression;    Aura;   

Others  :  822701
DOI  :  10.1186/1752-1947-8-61

 received in 2013-07-21, accepted in 2013-12-20,  发布年份 2014

【 摘 要 】

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.

【 授权许可】

   
2014 Lim et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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