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Visual snow syndrome and its relationship with migraine
O Barrachina-Esteve1, I Hidalgo-Torrico2, C Acero3
1Servicio de Neurología, Parc Taulí Hospital Universitari, Institut d'Investigació i Innovació Parc Taulí I3PT, Universitat Autònoma de Barcelona, Sabadell, España.
Visual snow syndrome (VSS) causes constant visual static. This central nervous system disorder is linked to migraine, with lamotrigine showing limited efficacy in severe cases.
Area of Science:
- Neuroscience
- Ophthalmology
Background:
- Visual snow syndrome (VSS) is a neurological condition characterized by persistent visual static.
- It affects individuals across all age groups, with a higher prevalence in younger populations.
Purpose of the Study:
- To summarize current understanding of VSS, including diagnostic criteria and pathophysiology.
- To explore the relationship between VSS and migraine.
Main Methods:
- Review of diagnostic criteria for VSS.
- Discussion of postulated pathophysiological mechanisms, including cortical hyperexcitability.
- Analysis of the comorbidity and symptom severity in patients with both VSS and migraine.
Main Results:
- Diagnostic criteria for VSS involve visual snow plus other persistent visual phenomena.
- Migraine is highly prevalent in VSS patients, exacerbating symptoms.
- Lamotrigine is the most effective treatment, but only for selected severe cases.
Conclusions:
- VSS is underdiagnosed but gaining research attention, with established diagnostic criteria.
- VSS and migraine share overlapping symptoms and likely common pathophysiological pathways.
- Further research is needed to understand VSS pathophysiology and develop effective treatments.
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