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Updated: Nov 18, 2025

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
Published on: June 2, 2014
[Migraine with typical aura without headache; first presentation at older age]
S Z Zewari1,2, L Jeung1, C Gerlach1
1St. Antonius Ziekenhuis, afd. Neurologie, Utrecht/Nieuwegein.
Transient visual phenomena, often linked to migraine with aura, can occur without headache and are frequently misdiagnosed. Recognizing these visual disturbances early is key to avoiding unnecessary tests and treatments.
Area of Science:
- Neurology
- Ophthalmology
Background:
- Transient visual phenomena in older adults can stem from migraine with aura, sometimes without accompanying headache.
- These visual disturbances can be mistaken for other conditions, creating diagnostic challenges in healthcare settings.
Purpose of the Study:
- To highlight the importance of recognizing visual aura in migraine.
- To differentiate migraine-related visual phenomena from other causes.
- To emphasize the role of patient history in diagnosis.
Main Methods:
- Review of clinical presentations of transient visual phenomena.
- Analysis of diagnostic challenges in differentiating causes.
- Emphasis on patient history taking for diagnosis.
Main Results:
- Migraine with aura is an underrecognized cause of transient visual phenomena, especially in older individuals.
- Visual aura symptoms are typically complex and binocular.
- Patient history is crucial for distinguishing monocular from binocular causes.
Conclusions:
- Early identification of visual aura in migraine can prevent extensive diagnostic workups.
- Understanding migraine visual aura is essential for accurate diagnosis and appropriate patient management.
- Distinguishing migraine aura from other causes of visual disturbances improves patient outcomes.
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