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Updated: Oct 19, 2025

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

Laura C E Drayer Turner1,2, Jan A Coebergh3, Philip J Banerjee1

  • 1Frimley Health NHS Foundation Trust, Portsmouth Road, Frimley, Camberley GU16 7UJ, UK.

Vision (Basel, Switzerland)
|September 26, 2021
PubMed
Summary
This summary is machine-generated.

A young woman

Keywords:
acute macular neuroretinopathymaculopathymigrainepersistent negative aurascotomata

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Area of Science:

  • Ophthalmology
  • Neuroscience

Background:

  • A 23-year-old woman with a history of migraines presented with bilateral paracentral scotomata.
  • Initial assessment attributed symptoms to persistent negative aura, with normal ophthalmoscopy and MRI head.

Observation:

  • Persistent visual field defects prompted a specialist review 10 months later.
  • Subtle bilateral perifoveal changes were noted, previously overlooked.
  • Near-infrared reflectance imaging visualized lesions before clinical abnormalities were apparent.

Findings:

  • Spectral-domain optical coherence tomography revealed hyperreflectivity in the outer nuclear and outer plexiform layers.
  • These findings are characteristic of acute macular neuroretinopathy.
  • The case highlights potential misdiagnosis of migraine with persistent negative aura.

Implications:

  • Emphasizes scrutinizing macular ancillary tests in patients with scotomata or atypical migraine symptoms.
  • Cautions against diagnosing persistent negative aura without advanced imaging.
  • Underscores the importance of detailed retinal imaging for early detection of neuroretinal conditions.