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Migraine with Multiple Sensory Auras.

Nicodemus E Oey1, Yew Long Lo2

  • 11Program in Neuroscience and Behavioral Disorders, Duke-NUS Graduate Medical School, Singapore 169857, Singapore.

Acta Neurologica Taiwanica
|April 7, 2017
PubMed
Summary
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This case study details a rare instance of migraine auras affecting multiple senses, including touch, hearing, and smell, without visual symptoms. It offers new perspectives on the complex pathophysiology of migraine auras.

Area of Science:

  • Neurology
  • Neuroscience

Background:

  • Migraine auras are typically visual but can involve other senses.
  • Multiple sensory auras are uncommon, presenting a diagnostic and research challenge.

Observation:

  • A 45-year-old woman experienced migraine auras with somatosensory (numbness, paresthesia), auditory (tinnitus), and olfactory (phantosmia) disturbances.
  • These sensory symptoms were linked to headaches and occurred without visual aura or other neurological abnormalities.

Findings:

  • The patient's multiple sensory aura involved somatosensory, auditory, and olfactory modalities.
  • Diagnostic tests including NCS, EEG, and MRI were normal, highlighting a functional neurological presentation.

Implications:

  • This case expands understanding of migraine aura diversity and pathophysiology.

Related Experiment Videos

  • It supports theories involving cortical spreading depression, sensitization, and thalamocortical networks in migraine.