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Somatosensory symptoms Somatosensory symptoms
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Author: Klaus Podoll 29. March 2005
Edited by: Klaus Podoll

Somatosensory symptoms

Somatosensory migraine aura symptoms are fully reversible sensory symptoms including positive features (i.e., pins and needles) and/or negative features (i.e., numbness).

Unilateral sensory symptoms are a characteristic feature of typical aura with migraine headache, whereas simultaneously bilateral paraesthesias occur in basilar-type migraine.

Visual aura with scintillating scotoma (above) and somatosensory aura with digitolingual syndrome (below) from left to right in their successive stages of development. Reproduced from Egilius L.H. Spierings, Management of Migraine, 1996. © 1996 Egilius L.H. Spierings

A typical presentation of the somatosensory aura is the digitolingual syndrome, as shown in the illustration reproduced by courtesy of Egilius L.H. Spierings. "In consists of a feeling of numbness and tingling that starts in the fingers of one hand", he wrote in his 1996 monograph Management of Migraine. "Subsequently, the numbness gradually extends upwards into the arm and, at a certain point, also involves the nose-mouth area on the same side. The progression of the numbness, like that of the scintillating scotoma, is slow and usually takes from 10 to 30 minutes." (Spierings, 1996, p. 8)

An example for a typical aura consisting of blindness and numbess affecting one half of the body, i.e. hemihypaesthesia: "I have had migraines since I was 11, and over the years I've gotten pretty damn good at recognizing warning signals... I get an aura (blindness) for half an hour, then after I get numbness on half of my body. (really freaky sometimes) It seems that you can draw a line down my body and half of my lips, tongue, face etc to one side goes tingly and numb. And then comes the pain."

(audrey kerves, Newsgroups: alt.support.headaches.migraine, Subject: Aura's and Warning Signals????, December 3, 1997)

An example of hemihypaesthesia followed by paraesthesias: "A migraine is something which can affect your whole body, not just your head. I often used to get the whole of one side of my body going numb, and then getting pins and needles in it for about an hour. Not fun."

(Warren Jones, Newsgroups: alt.fan.pratchett, Subject: How does Gravity work on the Disc?, August 28, 1997)

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.

References

Spierings ELH. Management of Migraine. Butterworth-Heinemann, Boston-Oxford-Melbourne-Singapore-Toronto-Munich-New Delhi-Tokyo 1996.

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Pre-publication research on migraine with aura