scholarly journals Have You Seen A Kaleidoscope? A Case of Visual Migraine Aura

2022 ◽  
Vol 5 (1) ◽  
pp. 01-03
Author(s):  
Fatimah Lateef
Keyword(s):  
Visual Field ◽  
Differential Diagnoses ◽  
Migraine Aura ◽  
Visual Aura ◽  
Detailed History ◽  
The Common ◽  
Work Up

This is a case of migraine, presenting with the interesting visual aura of a ‘kaleidoscope’: waves with flickering movements made up of a variety of colors (red, blue, green, yellow), commencing laterally and spreading superiorly in the visual field of the left eye. This description is quite similar to a fortification spectrum, which usually expands and spreads in a C-shape fashion over one side of the visual field. Several different possible pathophysiological explanation are shared as well as the common differential diagnoses. In the work up of a patient with visual aura migraine, a comprehensive and detailed history is important, together with the appropriate investigations, in order not to miss any serious syndromes, including stroke syndromes and epilepsy.

Characteristics of migraine visual aura in Southern Brazil and Northern USA

Cephalalgia ◽  
2011 ◽  
Vol 31 (16) ◽  
pp. 1652-1658 ◽  
Author(s):  
Luiz Paulo Queiroz ◽  
Deborah Isa Friedman ◽  
Alan Mark Rapoport ◽  
R Allan Purdy
Keyword(s):  
Visual Field ◽  
Migraine With Aura ◽  
Descriptive Study ◽  
Migraine Aura ◽  
Southern Brazil ◽  
Visual Symptom ◽  
Blurred Vision ◽  
Visual Aura ◽  
Common Features ◽  
Gradual Onset

Background: Migraine aura, made up of one or more neurological symptoms arising from the cortex or brainstem, is a complex neurological phenomenon. Visual aura is the most frequent aura manifestation. Studying the subjective components of visual aura makes it possible to identify common characteristics. Objective: To thoroughly describe the characteristics of migraine visual aura in patients with migraine with aura. Methods: We performed a retrospective, descriptive study of the visual aura of 122 migraine patients collected at two headache clinics in the Americas. This study was designed to determine the characteristics of a typical visual aura. Results: The most common features of the visual aura in our study are that it occurs before the headache with a gap of less than 30 minutes, lasts 5 to 30 minutes, has a gradual onset, usually begins peripherally, is unilateral, and shimmers. Furthermore, the location of typical visual aura in the visual field has no fixed relationship to headache laterality, is slightly more often without color, and is often described as small bright dots and zigzag lines. Blurred vision, not typically considered to be an aura phenomenon of cortical origin, is in fact the most frequently reported visual symptom. Conclusions: Migraine visual aura is heterogeneous and pleomorphic, and some of our findings run contrary to common beliefs.

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.

scholarly journals Parkes-Weber syndrome in the emergency department

2021 ◽  
Vol 14 (9) ◽  
pp. e241649
Author(s):  
Raj Patel ◽  
Edward James Durant ◽  
Robert Freed
Keyword(s):  
Emergency Department ◽  
Interventional Radiology ◽  
Case Report ◽  
Vascular Malformations ◽  
Weber Syndrome ◽  
The Common ◽  
Work Up

This case report describes a 20-year-old woman presenting to the emergency department (ED) with unilateral leg swelling. After multiple visits to the ED and workups with rheumatology, dermatology, interventional radiology and genetics, she was finally diagnosed with Parkes-Weber syndrome. The purpose of this case report is to illustrate the common and uncommon presentations, mimickers and work-up of Parkes-Weber syndrome as well as provide a brief overview of vascular malformations in general.

scholarly journals Study of common clinical types of cutaneous tuberculosis: two years study experience in a tertiary care centre

2020 ◽  
Vol 6 (2) ◽  
pp. 199
Author(s):  
Raghu M. T. ◽  
Ashwini S. ◽  
Yogendra M. ◽  
Virupakshappa H. E. ◽  
Gangaraju Harish ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Age Group ◽  
Lupus Vulgaris ◽  
Tertiary Care Centre ◽  
Cutaneous Tuberculosis ◽  
Medical College ◽  
Plaque Type ◽  
Study Experience ◽  
The Common ◽  
Work Up

<p class="abstract"><strong>Background:</strong> Cutaneous tuberculosis (TB) is frequently found worldwide, especially in tropical countries. The number of extrapulmonary TB reaches up to 14%, and 1% to 2% are cutaneous TB. Diagnosis of cutaneous tuberculosis (CTB) is complicated and requires a full work-up. Clinical manifestation of cutaneous TB is varied and causes difficulties to diagnose. Scrofuloderma and plaque type of lupus vulgaris (LV) are common forms of cutaneous TB.</p><p class="abstract"><strong>Methods:</strong> A retrospective study was conducted on patients attending Department of Dermatology, Venereology and Leprosy, at Basaveshwara Medical College and Hospital, Chitradurga over a period of 2 years. A total of 15 cases of cutaneous tuberculosis were diagnosed.</p><p class="abstract"><strong>Results:</strong> A total of 15 cases out of which included predominantly males, with age group being affected commonly are 20-40 decades, histopathology showing tuberculoid granuloma in 11 cases, and common clinical variant being lupus vulgaris seen in 66.6% of the cases and. Second common being scrufuloderma seen in 26.6% of the cases and least common is TB verrucosa cutis (TBVC) seen in 6.6% of the cases.</p><p class="abstract"><strong>Conclusions:</strong> The study showed that the common clinical type of cutaneous tuberculosis during the study period was lupus vulgaris, scrofuloderma and less common being TBVC.</p>

Ophthalmology

2020 ◽  
pp. 965-988
Keyword(s):  
Visual Development ◽  
Bedside Examination ◽  
Eye Problems ◽  
Infancy And Childhood ◽  
The Common ◽  
Visual Problems ◽  
Work Up

The common eye problems of infancy and childhood are summarized here, along with outlines of basic bedside examination and work-up. Detecting visual problems early is crucial to optimizing long-term visual development. If any doubt about your assessment exists or you have concern about the child’s eyes, discuss with your senior early and seek a friendly ophthalmology opinion.

Illusory Splitting as Visual Aura Symptom in Migraine

Cephalalgia ◽  
2000 ◽  
Vol 20 (4) ◽  
pp. 228-232 ◽  
Author(s):  
K Podoll ◽  
D Robinson
Keyword(s):  
Migraine Aura ◽  
Visual Aura ◽  
Similarities And Differences

Illusory splitting was illustrated as a visual migraine aura symptom in six of 562 Migraine Art pictures. In this type of illusion, objects or persons appear to be split, along fracture lines of varying form and orientation, into two or more parts that may be displaced and separated from each other. The illusion is strongly associated with the presence of elementary geometric hallucinations. Phenomenological similarities and differences of illusory splitting to the visual perceptual disturbances of fragmentation and mosaic illusion are discussed.

Prolonged Migraine Aura Without Headache Arrested by Sumatriptan. A Case Report with Further Considerations

Cephalalgia ◽  
1999 ◽  
Vol 19 (4) ◽  
pp. 241-242 ◽  
Author(s):  
PA Kowacs ◽  
EJ Piovesan ◽  
CE Tatsui ◽  
MC Lange ◽  
LC Ribas ◽  
...  
Keyword(s):  
Case Report ◽  
Blood Brain Barrier ◽  
Spreading Depression ◽  
Brain Barrier ◽  
Migraine Aura ◽  
Visual Aura ◽  
Blood Brain

The case of a 42-year-old woman with prolonged migraine visual aura without headache, whose long-lasting episodes of visual aura were successfully controlled by oral sumatriptan, is reported. Effectiveness of sumatriptan was unequivocal, since, after taking sumatriptan, duration of aura would drop from 1.5 h to approximately 20 min. This case suggests that sumatriptan may cross the blood-brain barrier and block spreading depression.

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 A clinical study of pattern of geriatric dermatosis in tertiary care hospital of Rajasthan

2021 ◽  
Vol 7 (2) ◽  
pp. 148-152
Author(s):  
Bajrang Soni ◽  
Priyanka Meena
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Age Group ◽  
Physiological Changes ◽  
Geriatric Population ◽  
Detailed History ◽  
Medical College ◽  
Pathological Conditions ◽  
The Common

: Geriatric health care has received lot of attention nationwide due to increase in life expectancy over the time. Among the various health issue geriatric dermatosis are one of the most common reason for regular OPD visits. This study was done to inquest the spectrum of cutaneous manifestation and the factors responsible for causing physiological and pathological changes in the skin of elderly people.: Three hundred consecutive patients aged more than 60 yrs of age attending the out patient department of dermatology at PDU Medical College & hospitals Churu were subjected for study. A detailed history was taken. A complete general, systemic & Cutaneous examination was done along with relevant investigation were carried out. Findings were collated in Performa for analysis and interpretation of data. A total of 300 patients were enrolled in the study out of which 59 % were male and 41 % were female. Pruritis was the commonest complain elicted in 68.5 % of patients. Among the physiological changes xerosis was the commonest seen in 63 % of patients and infecions followed by eczems was the common pathological conditions. The population of 60 yrs and above is a rapidly growing dermatology clientele with both physiological and pathological manifestations. This study highlights the various dermatoses peculiar to the geriatric population and aims at sensitizing the fraternity to the specific needs of this special age group.

scholarly journals Migraine aura: results from an art contest

2020 ◽  
pp. 10-13
Author(s):  
Bruna de Freitas Dias ◽  
Arao Belitardo de Oliveira ◽  
Juliane Prieto Peres Mercante ◽  
Michele Viana ◽  
Luiz Paulo de Queiroz ◽  
...  
Keyword(s):  
Migraine With Aura ◽  
Primary Headache ◽  
Digital Art ◽  
Migraine Aura ◽  
Visual Aura ◽  
Disease Awareness ◽  
Raising Awareness ◽  
Prevention And Treatment ◽  
The Mean ◽  
Cluster Headaches

Introduction: Migraine is a common primary headache and a major cause of disability. In at least a third of migraine attacks, the headache is preceded and/or accompanied by aura and the visual manifestation is the most frequent phenotype. Migraine with aura, a subtype of migraine disorder, are underdiagnosed and undertreated. So, a detailed aura iconography is important for better recognition, prevention and treatment of migraine with aura. Objective: A visual aura art contest was performed by ABRACES (Brazilian Association of Cluster Headaches and Migraines), in order to provide new images for raising awareness among population and professionals and decreasing the gap between diagnosis and treatment. Methods: The contest involved free subscription of drawings, paintings and digital art that expressed realistic results of a visual aura of migraine and answering of a questionnaire. The awards were separated in two categories (painting/drawing and digital art/photography) and amounted up to R$ 5,000. Results: There were 139 participants, 24% men and 76% women. The most common visual aura’s characteristic was the presence of colorful points, and the less frequently was golden. The mean duration of visual aura was 110.6 minutes (450.5 of standard deviation), median of 20 minutes, minimum of 1 minute and maximum of 3600 minutes. 36.7% of the subscribers have only one kind of visual aura and 33.8% answered that have more than one kind. 46,5% said that their visual aura almost never occurs without pain after or while aura and 19% reported that their visual aura always occurs without a headache. Conclusion: Art contests are useful tools for disease awareness. Further actions in disseminating aura images may help migraine aura underdiagnosis and undertreatment. 

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