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Updated: Feb 18, 2026

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

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

Published on: June 2, 2014

Diagnosing migraine.

E Anne MacGregor^1,2

¹Associate Specialist, Barts Health NHS Trust, London, UK.

The Journal of Family Planning and Reproductive Health Care

|November 28, 2017

Summary

This summary is machine-generated.

Migraine with aura is a stroke risk factor, contraindicating combined hormonal contraception (CHC). Differentiating aura from other migraine symptoms is crucial to avoid unnecessary CHC restrictions for women.

Keywords:

aura contraception headache migraine with aura migraine without aura

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Area of Science:

Neurology
Women's Health
Pharmacology

Background:

Migraine is a prevalent neurological disorder, disproportionately affecting women during reproductive years.
Migraine with aura is associated with an increased risk of ischemic stroke.
Combined hormonal contraception (CHC) is contraindicated in women with migraine aura due to stroke risk.

Purpose of the Study:

To differentiate migraine aura from premonitory symptoms.
To inform appropriate contraception choices for women with migraine.
To prevent unnecessary withholding of CHC.

Main Methods:

Review of current literature on migraine classification and stroke risk.
Analysis of diagnostic criteria for migraine aura.
Comparison of clinical features of aura and premonitory symptoms.

Main Results:

Migraine aura involves focal neurological symptoms, typically visual.
Premonitory symptoms can precede migraine attacks (with or without aura) but are not linked to stroke risk.
Accurate diagnosis is essential to distinguish aura from other migraine-related phenomena.

Conclusions:

Distinguishing migraine aura from premonitory symptoms is critical for patient management.
Correct diagnosis ensures CHC is not withheld unnecessarily from women with migraine.
Improved diagnostic confidence can optimize reproductive healthcare for women with migraine.