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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
10:39

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache

Published on: June 2, 2014

Alliaceous migraines.

Alexander P Roussos1, Alan R Hirsch

  • 1Smell and Taste Treatment and Research Foundation, Chicago, IL, USA.

Headache
|April 5, 2013
PubMed
Summary
This summary is machine-generated.

This case study details a rare instance of migraines with aura triggered by both garlic and onion aromas in a single patient. Interventions like nose plugs and peppermint stimulation proved effective in preventing these debilitating odor-induced headaches.

Keywords:
alliaceousaromagarlicheadachemigraineonion

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Area of Science:

  • Neurology
  • Ophthalmology
  • Allergology

Background:

  • Odors are known migraine triggers in 70% of patients, but alliaceous aromas are rarely reported.
  • Multiple alliaceous odors as triggers in one individual and their association with migraine with aura are not well-documented.

Observation:

  • A 32-year-old woman experienced severe migraines with aura, including visual disturbances and intense headaches, triggered by garlic and onion aromas.
  • Symptoms included panic attacks, throat constriction, photophobia, phonophobia, and various other neurological and sensory disturbances.
  • The patient also reported chemosensory issues like dysosmias and metallic taste.

Findings:

  • Neurological examination revealed bilateral positive Hoffman reflexes; other tests were normal.
  • Allergy skin tests were positive for garlic and onion.
  • Nose plugs and peppermint stimulation successfully prevented headache onset.

Implications:

  • This is the first reported case of migraine with aura triggered by multiple alliaceous compounds.
  • Potential mechanisms include odor-induced emotional changes, neurogenic inflammation, and allergic responses.
  • Counter-stimulation and nasal occlusion may be beneficial for managing such cases.