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Published on: June 2, 2014
Retinal Migraine: A Case Report with Brief Literature Review and Illustrative Findings
Esteban Agudelo Quintero1, Santiago Vasquez Builes2, Andrés Castaño Parra3
1Neurology Resident, Universidad CES - Fundación Instituto Neurológico De Colombia, Medellín, Colombia.
Abstract:
Retinal migraine (RM) is defined according to the International Classification of Headache Disorders (ICHD-3), as "recurrent attacks of monocular visual disturbances, including flashes, scotomas or blindness, that is accompanied or preceded by headache within 60 minutes of the onset of visual symptoms," which are entirely reversible. While most symptoms resolve spontaneously, persistent visual deficits and abnormal ophthalmological findings have been described in some cases. The underlying pathophysiology of these persistent features remains elusive. This case report details a patient with RM who exhibited documented visual field defects on computerized testing.
Insights
Retinal migraine (RM) involves temporary monocular vision loss and headache. This case report highlights persistent visual field defects in a patient with RM, suggesting potential lasting neurological impacts.
Area of Science:
- Neurology
- Ophthalmology
- Neuroscience
Background:
- Retinal migraine (RM) is characterized by recurrent, reversible monocular visual disturbances preceding or accompanying headache.
- The International Classification of Headache Disorders (ICHD-3) defines RM based on these transient symptoms.
- While typically self-resolving, persistent visual deficits and ophthalmological findings have been anecdotally reported, with unclear pathophysiology.
