Migraine with aura

Around 15% to one-third of migraineurs experience aura. Aura is a fully reversible focal neurological phenomenon involving visual, sensory, speech, and/or motor symptoms that develops gradually and usually precedes the headache phase. The pivotal role cortical spreading depression (CSD) as mechanism underlying aura has been widely supported by large body studies. diagnosis based on International Headache Classification Disorders III edition criteria. characterized gradual development, duration each symptom no longer than one hour, mix positive negative features, complete reversibility. Visual most common type aura, occurring in over 90% patients. When are multiple, they follow another succession, beginning with then aphasic; but reverse other orders have noted. accepted for symptoms, which rare, often lasting. patient experiences first time possible phase it's sometimes difficult know if there was or brutal onset symptoms. If visual simultaneous presents corresponding cerebral vascular territory, emergency exploration transient ischemic attack necessary. Long (greater hour) what may not be an phase, late dramatic increase attacks should also explored. relative risk stroke significantly increased migraine Combined hormonal contraception estrogens increases women It recommended start non-steroidal anti-inflammatory drugs (NSAIDs) aspirin soon during treat avoid diminish In case failure NSAIDs it use triptan when begins. prophylactic treatments those used without very few randomized clinical trials specifically dedicated