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[Focal migraine attacks without headaches (author's transl)]

H Rau, A Vetterli

    Archiv Fur Psychiatrie Und Nervenkrankheiten
    |August 22, 1978
    PubMed
    Summary

    Migraine without headaches, a rare focal migraine variant, presents with transient focal neurological symptoms. Careful analysis of attack patterns aids diagnosis, differentiating it from other neurological events.

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    Area of Science:

    • Neurology
    • Neuroscience
    • Clinical Medicine

    Context:

    • Migraine is a common neurological disorder.
    • Focal migraines, or migraine accompagnée, involve transient neurological symptoms.
    • A rare variant, migraine without headaches, presents unique diagnostic challenges.

    Purpose:

    • To describe the characteristics of migraine without headaches.
    • To establish diagnostic criteria for this rare migraine variant.
    • To differentiate migraine without headaches from other transient focal neurological events.

    Summary:

    • Migraine without headaches is a form of focal migraine characterized by transient focal neurological disturbances.
    • Attacks typically begin focally, often in the ophthalmic area, and spread slowly over approximately ten minutes.
    • Diagnosis is supported by family history, early onset, and shifting laterality of symptoms; observed in 4% of migraine patients.

    Impact:

    • Improves diagnostic accuracy for rare migraine presentations.
    • Aids in differentiating migraine without headaches from transient ischemic attacks and epilepsy.
    • Contributes to understanding the spectrum of migraine-associated neurological phenomena.

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