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Retinal Migraine: Evaluation and Management.

Monica E Maher1, William Kingston2,3,4

  • 1Division of Neurology, University of Toronto, Toronto, Canada.

Current Neurology and Neuroscience Reports
|May 11, 2021
PubMed
Summary
This summary is machine-generated.

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Retinal migraine is a rare condition affecting women more than men, causing temporary vision loss and headache. It is diagnosed by exclusion and may respond to standard migraine treatments.

Area of Science:

  • Ophthalmology
  • Neurology

Background:

  • Retinal migraine is an uncommon migraine variant.
  • It is poorly understood with limited case reports.

Purpose of the Study:

  • To review the literature and case reports on retinal migraine over the past 15 years.
  • To summarize current understanding of this rare condition.

Main Methods:

  • Literature review of case reports and studies on retinal migraine.
  • Analysis of patient demographics, symptoms, pathophysiology, and treatment responses.

Main Results:

  • Only 12 cases of retinal migraine were reported in the last 15 years.
  • Retinal migraine predominantly affects women and is associated with unilateral headache ipsilateral to vision loss.
Keywords:
Migraine auraMonocular vision lossOphthalmologic migraineRetinal migraineVisual aura

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  • Potential pathophysiology involves retinal vessel vasoconstriction.
  • It is a diagnosis of exclusion, requiring thorough investigation to rule out other causes of monocular vision loss.

    • Conclusions:

    • Retinal migraine is a rare diagnosis of exclusion.
    • Patients may benefit from standard migraine abortive and prophylactic therapies.