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. 

scholarly journals Association of Serum Homocysteine Level with Migraine in Adults

2017 ◽  
Vol 33 (2) ◽  
pp. 76-82
Author(s):  
Md Monirul Islam ◽  
Md Ahsan Habib ◽  
Md Rafiqul Islam ◽  
Hasan Zahirur Rahman ◽  
Abu Nasir Rizvi ◽  
...  
Keyword(s):  
Migraine With Aura ◽  
Homocysteine Level ◽  
Primary Headache ◽  
Headache Disorder ◽  
Mean Value ◽  
Control Group ◽  
Case Group ◽  
Close Link ◽  
Serum Homocysteine ◽  
The Mean

Background: Migraine is the second most common primary headache disorder that has close link to the neurovascular system. The exact pathogenesis of migraine is still not fully understood but several possible theories have been proposed. Hyperhomocysteinemia is one of the coincidental factors whose association with migraine is yet in obscure. Methods: This case control study was conducted in the department of Neurology, Bangabandhu Sheikh Mujib Medical University, Dhaka. A total of 65 patients, who were diagnosed as migraine (with aura or without aura) according to ICHD-3 criteria, were considered as case group and another 65 patients (age and sex matched) with headache other than migraine were considered as control group. Serum homocysteine levels were estimated for both groups and other relevant investigations were done in selective cases. Comparison of serum homocysteine levels between two groups were done to see association of serum homocysteine level with migraine in adults. Results: A total of 50 women and 15 men with mean age of 31 (±10.41) years and 50 women and 15 men with mean age of 33 (±10.91) years constituted case and control groups, respectively. The mean (±SD) serum homocysteine level in case group 10.71 (±4.16) ìmol/L was significantly higher than control group 7.62 (±2.26) ìmol/L, (P <0.001).The mean value of serum homocysteine level in migraine without aura (MWOA) patients 11.87 (±4.18) ìmol/L was found significantly higher than migraine with aura (MWA) patients 8.23 (±1.51) ìmol/L, (p<0.05). There was no significant correlation between severity of migraine headache and frequency of migraine attack with serum homocysteine level. Conclusion: Serum homocysteine level was found significantly higher in migraineurs than non-migraineurs. Bangladesh Journal of Neuroscience 2017; Vol. 33 (2): 76-82

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.

Pattern Reversal Visual Evoked Potentials in Migraine with Aura and Migraine Aura Without Headache

Cephalalgia ◽  
1998 ◽  
Vol 18 (6) ◽  
pp. 319-323 ◽  
Author(s):  
K Shibata ◽  
M Osawa ◽  
M Iwata
Keyword(s):  
Evoked Potentials ◽  
Migraine With Aura ◽  
Visual Evoked Potentials ◽  
Spreading Depression ◽  
Normal Subjects ◽  
Pattern Reversal ◽  
Migraine Aura ◽  
Visual Aura ◽  
Duration Of Illness ◽  
Visual Evoked

Pattern reversal visual evoked potentials (PVEPs) were recorded in 20 patients with migraine with aura (MA), 19 patients with migraine without headache (migraine equivalent; ME) during interictal periods, and 34 normal subjects. All migraine patients had hemianopsia or fortification spectra during attacks. In both MA and ME patients of less than 49 years of age, there were significant ( p<0.01) differences in amplitude of PVEPs at the mid-occipital and contralateral to visual aura electrode sites compared to normal subjects. Amplitude of PVEPs in MA and ME showed significant ( p<0.001) increases when recorded soon after attacks, especially within 10 days. There was a significant ( p<0.01) correlation between percentage asymmetries and the duration of illness in both MA and ME. We conclude from our PVEP findings that cortical spreading depression remains the most likely explanation for the migraine visual aura.

Improved Description of the Migraine Aura by a Diagnostic Aura Diary

Cephalalgia ◽  
1994 ◽  
Vol 14 (2) ◽  
pp. 107-117 ◽  
Author(s):  
MB Russell ◽  
HK Iversen ◽  
J Olesen
Keyword(s):  
Migraine With Aura ◽  
Migraine Headache ◽  
Migraine Without Aura ◽  
Total Duration ◽  
Acute Onset ◽  
Migraine Aura ◽  
Visual Aura ◽  
Head Pain ◽  
Maximum Development

We present a diagnostic aura diary for prospective recordings of migraine with aura. Three questionnaires are supplemented with sheets for drawings and plottings of visual and sensory auras. Twenty patients recorded 54 attacks of migraine with aura and 2 attacks of migraine aura without headache. The visual and sensory aura were usually gradually progressive, reaching maximum development in 15 and 25 min (median) respectively and had a total duration of 20 and 55 min (median) respectively. Approximately 13% of the attacks had acute onset of visual aura associated with other features more typical of migraine. The visual and sensory auras always preceded typical migraine headache, and headache occurring before aura symptoms was always of the tension type, The migraine headache was milder than in attacks of migraine without aura and often did not have migraine characteristics. In attacks with unilateral head pain, headache and aura symptoms were contralateral in 90% and ipsilateral in 10%.

scholarly journals Migraine Visual Aura and Cortical Spreading Depression—Linking Mathematical Models to Empirical Evidence

Vision ◽  
2021 ◽  
Vol 5 (2) ◽  
pp. 30
Author(s):  
Louise O’Hare ◽  
Jordi M. Asher ◽  
Paul B. Hibbard
Keyword(s):  
Experimental Evidence ◽  
Migraine With Aura ◽  
Visual Processing ◽  
Subjective Experience ◽  
Reaction Diffusion ◽  
Diffusion Models ◽  
Oscillatory Activity ◽  
Migraine Aura ◽  
Visual Aura ◽  
Neural Noise

This review describes the subjective experience of visual aura in migraine, outlines theoretical models of this phenomenon, and explores how these may be linked to neurochemical, electrophysiological, and psychophysical differences in sensory processing that have been reported in migraine with aura. Reaction–diffusion models have been used to model the hallucinations thought to arise from cortical spreading depolarisation and depression in migraine aura. One aim of this review is to make the underlying principles of these models accessible to a general readership. Cortical spreading depolarisation and depression in these models depends on the balance of the diffusion rate between excitation and inhibition and the occurrence of a large spike in activity to initiate spontaneous pattern formation. We review experimental evidence, including recordings of brain activity made during the aura and attack phase, self-reported triggers of migraine, and psychophysical studies of visual processing in migraine with aura, and how these might relate to mechanisms of excitability that make some people susceptible to aura. Increased cortical excitability, increased neural noise, and fluctuations in oscillatory activity across the migraine cycle are all factors that are likely to contribute to the occurrence of migraine aura. There remain many outstanding questions relating to the current limitations of both models and experimental evidence. Nevertheless, reaction–diffusion models, by providing an integrative theoretical framework, support the generation of testable experimental hypotheses to guide future research.

Secondary Traumatization Among Social Work Students—The Contribution of Personal, Professional, and Environmental Factors

2020 ◽  
Author(s):  
Anat Ben-Porat ◽  
Shahar Shemesh ◽  
Ronit Reuven Even Zahav ◽  
Shelly Gottlieb ◽  
Tehila Refaeli
Keyword(s):  
Social Work ◽  
Social Work Students ◽  
Positive Contribution ◽  
Unique Contribution ◽  
Raising Awareness ◽  
The Mean ◽  
Explained Variance ◽  
Second Year ◽  
Self Differentiation

Abstract This study examined the rate of secondary traumatic stress (STS) among social work students and the contribution of background variables, personal resources (mastery and self-differentiation) and environmental resources (supervision satisfaction and peer support) to STS. The sample consisted of 259 social work students at three social work schools in Israel. The findings indicated that the mean level of STS was mild. Of the students, 36 per cent suffered STS to a mild extent, 19 per cent to a moderate extent and 18 per cent reported a ‘high to extreme extent’. A significant contribution was made by the student’s year of study, students in their second year of social work school suffered more severely from STS than did students in their first or third years. A positive contribution was made by the student’s level of exposure and a unique contribution was made by mastery and supervision satisfaction to the explained variance of STS. The findings highlight the importance of raising awareness of STS and its implications for social work students, as well as the necessity of helping students cope with this phenomenon. In addition, the study emphasises the significant role of supervisors in the training agencies and the importance of increasing students’ sense of mastery.

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 Topiramate Versus Propranolol in the Prophylaxis of Migraine in Bangladeshi Population

2020 ◽  
Vol 18 (2) ◽  
pp. 12-17
Author(s):  
Muhammad Tayeb ◽  
Md Hasanuzzaman ◽  
Abul Mansur Md Rezaul Karim ◽  
Mohammad Sanaullah ◽  
Md Ashraful Islam
Keyword(s):  
Migraine Attack ◽  
Divided Dose ◽  
Low Dose ◽  
Primary Headache ◽  
Headache Disorder ◽  
Treatment Groups ◽  
Primary Headache Disorder ◽  
Significant Difference ◽  
The Mean ◽  
Bangladeshi Population

Background : Migraine is primary headache disorder characterized by recurring attacks of pain and associated symptoms. The management modality is still unsatisfactory due to poor understanding of its cause and pathogenesis. To assess the efficacy and safety of low dose Topiramate vs Propranolol in migraine prophylaxis. Materials and methods : A randomized clinical trial including 130 patients with frequent migraine headache >5 attacks per month was performed in the out patients Department of Medicine and Neurology, CMCH for a period of 12 weeks. The patients were randomly divided into two treatment groups – treated by Topiramate 50mg/day and Propranolol 80mg/day respectively. Topiramate started with 25mg/day for 7 days then increased up to 50mg/day in two divided dose. Propranolol started with 40mg/day for 7 days then increased up to 80mg/day in two divided dose. The patients were assessed at 0, 8 and 12 weeks of the study. Results: The Topiramate group showed a reduction in the mean (±SD) of frequency of migraine attack from 6.95(±2.88) to 1.75(±1.08) episode per month, headache days per month from 7.62(±4.14) to 1.83(±1.10), intensity of headache per attack from 8.98(±1.05) to 6.10(±2.50) based on VAS scale, duration of headache per episode from 11.56(±9.16) to 5.40(±2.97) per hour and MIDAS score from 16.19(±3.91) to 8.14(±3.93). In patient treated with Propranolol, the mean (±SD) of monthly frequency of migraine attack declined from 7.09(±2.87) to 1.92(±0.98) episode per month, headache days per month from 8.17(±4.52) to 1.86(±o.83), intensity of headache per attack from 8.47(±1.10) to 6.03(±2.05) based on VAS scale, duration of headache per episode from 11.16(±8.08) to 5.97(±3.45), MIDAS score from 15.48(±3.55) to7.77(±3.49). Pre- and post-treatment values were significantly different for individual groups but no significant difference observed between groups. Conclusion: This study demonstrated that both low dose Topiramate and propranolol could significantly reduce migraine frequency, intensity and duration. Chatt Maa Shi Hosp Med Coll J; Vol.18 (2); July 2019; Page 12-17

scholarly journals A Clinical Investigation about Horizontal Heterophoria Among Newly Diagnosed Myopia Juveniles in Nanchong District of China

2019 ◽  
Author(s):  
Ying Li Yan ◽  
Long Li ◽  
Ying Wang ◽  
Peng Guan Zeng ◽  
Chun Yun Zou
Keyword(s):  
Prevention And Control ◽  
Statistical Difference ◽  
Clinical Investigation ◽  
Mean Deviation ◽  
Newly Diagnosed ◽  
School Students ◽  
High Prevalence ◽  
Prevention And Treatment ◽  
The Mean ◽  
And Control

Abstract Background: To establish the prevalence and distribution of heterophoria in low myopia juveniles and and provide evidence of myopia prevention and treatment. Methods: Near and distant heterophoria were administered to the patients who were diagnosed of low myopia at their first visit in clinic. Tthe Von Graefe method was performed to test near, distant horizontal heterophoria types and degrees. Statistical analysis was performed with SPSS17.0 software. Results: A total of 150 students were participated in this study. Distant and near phoria was detected in 92.67% and 96.00% of the students respectively. exophoria was more common than esophoria(diantant:79.33% vs 13.33%; near:86.67% vs 9.33%, P<0.05), and the mean deviation of diantant and near heterophoria was -1.97△ and -3.91△. There was a statistical difference between the near and distant heterophoria (P<0.05). Conclusions: Most myopia juveniles have different extents of exophoria. Due to the high prevalence of heterophoria in myopia, in the process of refraction, attention should be paid to the examination of binocular visual function parameters such as heterophoria, which is conducive to the issuance of suitable optical correction prescriptions and the reasonable measures for myopia prevention and control. Keywords: Heterophoria, myopia, juvenile school students

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.

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