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SYMPTOMS | PATHOMECHANISMS | HISTORY

Symptoms

Transitory aura symptoms

Visual illusions

Visual loss

Persistent aura symptoms

Author: Klaus Podoll	23. June 2004
Edited by: Klaus Podoll

Motor symptoms

Motor symptoms of migraine aura include temporary, fully reversible motor weakness or paralysis. These cases are classified separately as sporadic or familial hemiplegic migraine, the latter being characterized by a pattern of inheritance with at least one first- or second-degree relative having migraine aura including motor weakness.

"Not only can migraines headaches be mild, they can be completely absent! People can have complicated migraines involving aura and focal neurologic symptoms and never complain of headache. My identical twin brother had a complicated migraine with middle cerebral artery symptoms (left homonymous hemianopsia and right facial and right arm weakness and numbness) which resolved in a few hours, and only in retrospect did he recognize the mild retro-orbital ache that developed afterwards. His work-up, including MRI, was normal, of course, as is consistent with migraine."

(Jonathan R. Fox, Newsgroups: sci.med, sci.med.pharmacy, Subject: "Excedrin Migraine", April 7, 1999)

"For the second time in a week I've been hospitalized for complicated migraine. You must appreciate the state of health care in Canada, and particularly in Ontario; because I'm 'stable' I have waited 4 to 6 hours to be assessed even by a nurse even though I have paresis on the right side and cannot walk or even speak intelligibly. Then the medicos wait to see how long it takes for me to be able to move my limbs again. This is when the headbanger kicks in and I'm given Maxoran or Stenoral (which makes me climb the walls) and told how lucky I am to get anything at all. My co-workers and even DH insist I go to emergency during these episodes -- I don't want to go anymore and am actively searching for a hiding place where I can just wait it out. How does anyone live with these things??????? I find myself wishing for a 'normal' 2 day migraine with vomiting, photo- and phonophobia. There's got to be a better way."

(Leslee Patriquin, Newsgroups: alt.support.headaches.migraine, Subject: HELP!! I'm In Complicated Migraine HELL!, February 4, 2000)

The following account may refer to facioplegic migraine, a rare variety of migraine with aura characterized by unilateral facial motor weakness during a migraine.

"i dunno.. i find that my migrainy side of the face looks a bit .. hanging, when having a migraine, probably cause it turns numb as well."

(the northbound, LiveJournal for Support Group for Migraine Sufferers, Subject: eye shrinkage, February 4, 2006)

Are you acquainted with similar phenomena associated with your migraine attacks? Please contact Dr Klaus Podoll if you wish to share and discuss your experiences.

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http://www.migraine-aura.org/

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