Auditory hallucinations associated with migraine: Case series and literature review

Cephalalgia ◽  
2014 ◽  
Vol 35 (10) ◽  
pp. 923-930 ◽  
Author(s):  
Eli E Miller ◽  
Brian M Grosberg ◽  
Sara C Crystal ◽  
Matthew S Robbins
Keyword(s):  
International Headache Society ◽  
Case Series ◽  
Primary Auditory Cortex ◽  
Auditory Hallucinations ◽  
Migraine Aura ◽  
Noisy Environment ◽  
Visual Aura ◽  
High Prevalence ◽  
Acute Headache ◽  
Perceptual Changes

Objective The objective of this review is to describe auditory hallucinations (paracusias) associated with migraine attacks to yield insights into their clinical significance and pathogenesis. Background Isolated observations have documented rare associations of migraine with auditory hallucinations. Unlike visual, somatosensory, language, motor, and brainstem symptoms, paracusias with acute headache attacks are not a recognized aura symptom by the International Headache Society, and no systematic review has addressed this association. Methods We retrospectively studied patients experiencing paracusias associated with migraine at our center and in the literature. Results We encountered 12 patients (our center = 5, literature = 7), 58% were female, and 75% had typical migraine aura. Hallucinations most commonly featured voices (58%), 75% experienced them during headache, and the duration was most often <1 hour (67%). No patients described visual aura evolving to paracusias. Most patients (50%) had either a current or previous psychiatric disorder, most commonly depression (67%). The course of headache and paracusias were universally congruent, including improvement with headache prophylaxis (58%). Conclusion Paracusias uncommonly co-occur with migraine and usually feature human voices. Their timing and high prevalence in patients with depression may suggest that paracusias are not necessarily a form of migraine aura, though could be a migraine trait symptom. Alternative mechanisms include perfusion changes in primary auditory cortex, serotonin-related ictal perceptual changes, or a release phenomenon in the setting of phonophobia with avoidance of a noisy environment.

scholarly journals Paediatric migraine with visual hallucination auras appearing in the form of a human body

2019 ◽  
Vol 12 (12) ◽  
pp. e232358
Author(s):  
Osamu Akiyama ◽  
Akihide Kondo ◽  
Iwao Akiyama
Keyword(s):  
Human Body ◽  
Spreading Depression ◽  
Common Type ◽  
Auditory Hallucinations ◽  
Visual Hallucinations ◽  
Migraine Aura ◽  
Visual Aura ◽  
Field Of Vision ◽  
Paediatric Case ◽  
Scintillating Scotoma

The most common type of migraine aura is multifaceted visual aura, such as scintillating scotoma or geometrical patterns, visual hallucinations in which a physical body is extremely rare. We report a paediatric case of migraine in which visual hallucinations appeared as auras in the form of a human body. The patient was an 11-year-old girl suffering from migraine with curious visual aura. The auras were atypical visual hallucinations that were sometimes accompanied by auditory hallucinations. Approximately 5–20 min before the headache, the patient would see a middle-aged man wearing sunglasses in her field of vision. Acetaminophen (10 mg/kg) and Japanese herbal medicine administered when necessary effectively treated the headaches. Finally, the patient was no longer complaining of her hallucination auras. Although the pathophysiology of migraines accompanied by auras is unclear, it appears that cerebral blood flow and cortical spreading depression are involved in auras.

The typical duration of migraine aura: A systematic review

Cephalalgia ◽  
2013 ◽  
Vol 33 (7) ◽  
pp. 483-490 ◽  
Author(s):  
Michele Viana ◽  
Till Sprenger ◽  
Michaela Andelova ◽  
Peter J Goadsby
Keyword(s):  
Literature Search ◽  
Significant Proportion ◽  
Case Series ◽  
Population Based ◽  
Scientific Data ◽  
Migraine Aura ◽  
Hemiplegic Migraine ◽  
Visual Aura ◽  
Prolonged Duration ◽  
Probable Migraine

Background According to ICHD-II, and as proposed for ICHD-III, non-hemiplegic migraine aura (NHMA) symptoms last between five and 60 minutes whereas hemiplegic migraine aura can be longer. In ICHD-III it is proposed to label aura longer than an hour and less than a week as probable migraine with aura. We tested whether this was appropriate based on the available literature. Methods We performed a systematic literature search identifying articles pertaining to a typical or prolonged duration of NHMA. We also performed a comprehensive literature search in order to identify all population-based studies or case series in which clinical features of NHMA, including but not restricted to aura duration, were reported, in order to gain a complete coverage of the available scientific data on aura duration. Results We did not find any article exclusively focusing on the prevalence of a prolonged aura or more generally on typical NHMA duration. We found 10 articles that investigated NHMA features, including the aura duration. Five articles recorded the proportion of patients in whom whole NHMA lasted for more than one hour, which was the case in 12%–37% of patients. Six articles reported some information on the duration of single NHMA symptoms: visual aura disturbances lasting for more than one hour occurred in 6%–10% of patients, sensory aura in 14%–27% of patients and aphasic aura in 17%–60% of patients. Conclusions The data indicate the duration of NHMA may be longer than one hour in a significant proportion of migraineurs. This seems to be especially true for non-visual aura symptoms. The term probable seems inappropriate in ICHD-III so we propose reinstating the category of prolonged aura for patients with symptoms longer than an hour and less than one week.

Olfactory hallucination in childhood primary headaches: Case series

Cephalalgia ◽  
2014 ◽  
Vol 35 (3) ◽  
pp. 234-239 ◽  
Author(s):  
MAS Ahmed ◽  
Sarah Donaldson ◽  
Francis Akor ◽  
Denise Cahill ◽  
Raed Akilani
Keyword(s):  
Children And Adolescents ◽  
Case Series ◽  
Primary Headaches ◽  
Migraine Aura ◽  
Headache Disorders ◽  
Visual Aura ◽  
Headache Diagnosis ◽  
Neurologically Normal ◽  
Olfactory Hallucination

Background Although olfactory hallucination (OH) has been reported in patients with primary headaches, olfactory aura has not been recognised by the International Classification of Headache Disorders (ICHD-2). In this study, we examined the frequency and characteristics of OH among children and adolescents with primary headaches. Methods 839 neurologically normal patients with primary headaches (537 migraine) were eligible for the assessment of olfactory hallucination. Headache diagnosis was based on the ICHD. Data were prospectively collected during clinic sessions and using headache diaries. Results Olfactory hallucination was reported exclusively during headache attacks by 21/839 (2.5%) patients, all of whom had migraine. The prevalence of olfactory hallucination was 3.9% among migraineurs (6.5% among those with migraine aura). Olfactory hallucination shortly followed the onset of headaches and lasted from 15 to 50 minutes. Of those with MA, 10 patients had visual aura; two had somatosensory aura; one had motor aura; and two had a combination of visual and somatosensory aura. Using the ICHD-2, both OH and migraine aura occurred in the same headache attacks. In 12/15 patients, OH occurred simultaneously with migraine aura, whereas in 3/12 patients, it preceded aura. Conclusion Our findings show that olfactory hallucination occurs in migraine and it has similarities to migraine aura.

Editors' Note: The Index Vein Pointing to the Origin of the Migraine Aura Symptom: A Case Series

Neurology ◽  
2021 ◽  
Vol 97 (8) ◽  
pp. 401.1-401
Author(s):  
Aravind Ganesh ◽  
Steven Galetta
Keyword(s):  
Case Series ◽  
Migraine Aura

Author Response: The Index Vein Pointing to the Origin of the Migraine Aura Symptom: A Case Series

Neurology ◽  
2021 ◽  
Vol 97 (8) ◽  
pp. 402.1-402
Author(s):  
Christoph J. Schankin ◽  
Niklaus Denier ◽  
Marwan El-Koussy ◽  
Roland Wiest ◽  
Frauke Kellner-Weldon ◽  
...  
Keyword(s):  
Case Series ◽  
Author Response ◽  
Migraine Aura

Vestibular Migraine with Visual Aura and Olfactory Hallucination in Children: Two Case Reports

2018 ◽  
Vol 49 (06) ◽  
pp. 414-416 ◽  
Author(s):  
T.R. Villa ◽  
L.M. Agessi
Keyword(s):  
Case Reports ◽  
International Classification ◽  
Vestibular Migraine ◽  
Migraine Aura ◽  
Headache Disorders ◽  
Visual Aura ◽  
Clinical Description ◽  
Olfactory Hallucination

Background Approximately 3.9% children with migraine have olfactory hallucination which was defined as a perception of a smell without the substantial existence of any physical odor. Case We described the first two cases of children with vestibular migraine, presenting visual aura and olfactory hallucination. ​ We reported two children with vertigo, visual aura, and olfactory hallucination before the headache who were responsive to topiramate. Conclusion The clinical description of olfactory hallucination presented some characteristics of migraine aura. Olfactory hallucinations could be inserted as a migraine aura in International Classification of Headache Disorders.

Side-Shifting Hemicrania Continua with Aura (Migraine with Aura with Autonomic Symptoms Responsive to Indomethacin?)

Cephalalgia ◽  
2006 ◽  
Vol 26 (8) ◽  
pp. 917-919 ◽  
Author(s):  
MFP Peres ◽  
MR Masruha ◽  
WB Young
Keyword(s):  
Chronic Migraine ◽  
Migraine With Aura ◽  
International Headache Society ◽  
Hemicrania Continua ◽  
Visual Aura ◽  
Autonomic Symptom ◽  
Autonomic Symptoms ◽  
Atypical Features ◽  
Ihs Classification ◽  
Complex Cases

Atypical features of hemicrania continua (HC), including both visual aura and side shifting, have been reported previously. However, auras and variable unilaterality have never been reported together in HC. We report two patients with side-shifting HC with aura. These patients' symptoms are unilateral headaches, visual aura, autonomic features, throbbing pain, nausea and photo/phonophobia. One could speculate that the unilaterality and/or the autonomic symptom modules are indomethacin responsive. The patients can also be classified as chronic migraine with aura, with autonomic symptoms, responsive to indomethacin. Neither migraine subtype nor side-shifting HC with aura is included in the current International Headache Society (IHS) classification, so these patients are not classifiable. Side-shifting HC with aura implies the need to revisit the traditional IHS categorization of headaches into unique diagnostic groups. The modular headache theory may be a tool for the understanding of these rare and complex cases.

Radiographs of 366 removed limb lengthening nails reveal differences in bone abnormalities between different nail types

2021 ◽  
pp. 1-5
Author(s):  
Christopher A. Iobst ◽  
Markus Winther Frost ◽  
Jan Duedal Rölfing ◽  
Ole Rahbek ◽  
Anirejuoritse Bafor ◽  
...  
Keyword(s):  
Case Series ◽  
Limb Lengthening ◽  
Retrospective Case ◽  
High Prevalence ◽  
Nail Insertion ◽  
Radiological Changes ◽  
Low Prevalence ◽  
Nail Removal ◽  
Mean Time ◽  
Bone Abnormalities

Aims Limb lengthening nails have largely replaced external fixation in limb lengthening and reconstructive surgery. However, the adverse events and high prevalence of radiological changes recently noted with the STRYDE lengthening nail have raised concerns about the use of internal lengthening nails. The aim of this study was to compare the prevalence of radiological bone abnormalities between STRYDE, PRECICE, and FITBONE nails prior to nail removal. Methods This was a retrospective case series from three centres. Patients were included if they had either of the three limb lengthening nails (STYDE, PRECICE, or FITBONE) removed. Standard orthogonal radiographs immediately prior to nail removal were examined for bone abnormalities at the junction of the telescoping nail parts. Results In total, 306 patients (168 male, 138 female) had 366 limb lengthening nails removed. The mean time from nail insertion to radiological evaluation was 434 days (36 to 3,015). Overall, 77% of STRYDE nails (20/26) had bone abnormalities at the interface compared with only 2% of FITBONE (4/242) and 1% of PRECICE nails (1/98; p < 0.001). Focal osteolysis in conjunction with periosteal reaction at the telescoping interface was only observed in STRYDE nails. Conclusion Bone abnormalities at the interface of telescoping nail parts were seen in the majority of STRYDE nails, but only very rarely with FITBONE or PRECICE nails. We conclude that the low prevalence of radiological changes at the junctional interface of 242 FITBONE and 98 PRECICE nails at the time of nail removal does not warrant clinical concerns.

scholarly journals Trauma‐focused imaginal exposure for auditory hallucinations: A case series

2020 ◽  
Author(s):  
Rachel M. Brand ◽  
Sarah Bendall ◽  
Amy Hardy ◽  
Susan L. Rossell ◽  
Neil Thomas
Keyword(s):  
Case Series ◽  
Auditory Hallucinations ◽  
Imaginal Exposure

Perinatal Pulmonary Hemorrhage: A Retrospective Autopsy Case Series

2020 ◽  
Vol 23 (4) ◽  
pp. 267-273
Author(s):  
Indu Agarwal ◽  
Linda M Ernst
Keyword(s):  
Pulmonary Hypoplasia ◽  
Case Series ◽  
Pulmonary Hemorrhage ◽  
Vascular Pathology ◽  
Placental Pathology ◽  
Autopsy Case ◽  
Inclusion Criteria ◽  
High Prevalence ◽  
Hematoxylin And Eosin ◽  
Pathology Reports

Perinatal pulmonary hemorrhage (PH) is a condition characterized by blood loss via the respiratory tract with an approximate incidence of 0.1% in all newborns. The histologic characteristics of the lung in PH are not well characterized, and we hypothesized that pulmonary maldevelopment such as pulmonary hypoplasia may contribute to PH. In addition, we sought to find any correlations with placental pathology. Retrospective study of fetal and neonatal autopsies with diagnosis of PH was performed between the years from 2009 to 2015. Autopsy reports, placental pathology reports, and hematoxylin and eosin sections of the lung were reviewed. Of the 17 cases which were identified meeting inclusion criteria, PH ranged from mild (<5% in each lung) to severe (>75% in both lungs). PH involved >50% of both lungs in 6 cases. Pulmonary hypoplasia was designated in 7 of 17 (41.17%) cases with PH. Pulmonary hypoplasia and/or persistence of intra-acinar arterioles was seen in 13 of 17 (76.4%) cases. No specific placental pathology was seen universally in the cases of PH, but either maternal or fetal vascular malperfusion was noted in 14 of 17 (82%) cases. Our data suggest a high prevalence of pulmonary maldevelopment, such as pulmonary hypoplasia and persistence of intra-acinar arterioles, in cases with PH. Although no specific placental pathology is seen in PH, maternal and fetal vascular pathology is common.

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