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Updated: Feb 18, 2026
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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
Published on: June 2, 2014
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Diagnosing migraine
1Associate Specialist, Barts Health NHS Trust, London, UK.
The Journal of Family Planning and Reproductive Health Care
|November 28, 2017
Summary
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.
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.
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