Presentation
Early theories proposed that the visual aura and the neurological symptoms that are sometimes present (such as tingling or numbness) might be due to a lack of blood supply to the brain. [headaches.org]
An ocular migraine—also known as ophthalmic, optical or silent migraine—is a type of migraine that specifically affects the vision in one or both eyes and, while other migraine symptoms might be present, there is usually no headache pain. [migrainerelief.ca]
There are several other conditions that should be ruled out when symptoms of an ocular migraine are present. These other conditions may have similar symptoms, but will require different treatments. [eyehealthweb.com]
Ocular migraines seem to present fewer problems than regular migraines but they can be annoying. Watch out for triggers to ocular migraines and keep a journal to find the connection. [migrainetreatmentgroup.com]
Cardiovascular
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Carotid Bruit
Four patients had carotid bruits on the same side as the monocular attacks and low ophthalmodynamometer readings. One patient had ischemic optic neuropathy and two had atheromatous disease (advanced stage in one patient). [ncbi.nlm.nih.gov]
Eyes
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Hemianopsia
In one of the 2 cases of narrowed posterior cerebral artery spastic obliteration of the artery was confirmed through vertebral angiography, but the side of the spasm did not correspond with the side of hemianopsia. Copyright 1964, Igaku-Shoin Ltd. [webview.isho.jp]
The most common symptoms are vertigo and dizziness, but symptoms may also include diplopia, hemianopsias, ataxia, tinnitus, decreased hearing, nausea, bilateral paresthesias, syncope and loss of consciousness. 19 • Ophthalmoplegic migraine is a rare disorder [reviewofoptometry.com]
Ears
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Hyperacusis
Accompanied by a variety of physical symptoms that often include lack of appetite, nausea, vomiting, diarrhea, cramping, photophobia, hyperacusis leading to sonophobia, excessive sweating (diaphoresis), vertigo and extreme fatigue. 7 Patients can be quite [reviewofoptometry.com]
Skin
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Sweating
The acute phase may be accompanied by nausea, vomiting, chills, polyuria, sweating, facial edema, irritability, and extreme fatigue. [medical-dictionary.thefreedictionary.com]
They can also cause constipation, dry mouth, and decreased sweating. Anticholinergics are typically found in prescription drugs. If mydriasis is caused by prescription medication, you may also have blurry vision and dizziness. [healthline.com]
Sweating. Scalp tenderness. Sensations of heat or cold. Migraine with aura This is less common than migraine without aura. [patient.info]
Accompanied by a variety of physical symptoms that often include lack of appetite, nausea, vomiting, diarrhea, cramping, photophobia, hyperacusis leading to sonophobia, excessive sweating (diaphoresis), vertigo and extreme fatigue. 7 Patients can be quite [reviewofoptometry.com]
"I have nothing to offer but blood, toil, tears and sweat." Winston Churchill 02-11-2010, 01:19 PM #5 Ad Majorem Dei Gloriam Originally Posted by BBLou Never even heard of this until yesterday. [forum.bodybuilding.com]
Neurologic
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Irritability
[…] symptoms of an ophthalmic migraine are those of a regular migraine: headaches of rapid onset, often affecting one side of the skull, fluctuating in intensity during the evolution of the crisis; worsening of pain during physical effort; occasionally, irritability [health.ccm.net]
The pain of a migraine headache probably relates to spasm or irritability of blood vessels in the brain, which are sensitive to pain (unlike the brain tissue itself, which does not have pain receptors). [brighamandwomens.org]
The acute phase may be accompanied by nausea, vomiting, chills, polyuria, sweating, facial edema, irritability, and extreme fatigue. [medical-dictionary.thefreedictionary.com]
Workup
If the eye examination is negative, then a neurologist will be able to proceed with a workup for other causes of your symptoms. Schedule a visit with your doctor as soon as you can. [zocdoc.com]
Gastroenterologic evaluation and workup typically yield unremarkable results. [48] Abdominal migraine symptoms are usually relieved with sleep. Antiemetics may help in aborting an acute attack. [emedicine.medscape.com]
Treatment
Treatment is usually started in consultation with an internist, family physician, or neurologist. [eugeneeyecare.com]
[…] of Optic Neuritis Treatment for optic neuritis can vary depending on the severity of the condition. [brandywineeye.com]
Ocular Migraine Treatments Normally, ophthalmic migraines do not require treatment. [pittsburgheyeassociates.com]
Prognosis
The long term prognosis for OM is similar that of migraine with aura. [thedailymigraine.com]
An ocular and systemic differential diagnosis, appropriate evaluation, therapy, and prognosis are also discussed. [link.springer.com]
Ocular migraine Prognosis The outcome of this condition is similar to migraine headaches accompanied by typical aura. [hxbenefit.com]
Etiology
herpes; ophthalmicus (h.zoster) (etiology), herpes; zoster, eye (etiology), herpes; zoster, eye (manifestation), zoster; herpes, eye (etiology), zoster; herpes, eye (manifestation) Swedish Ögonherpes Czech herpes zoster ophthalmicus, Herpes zoster [fpnotebook.com]
: Comorbidity of migraine and depression: investigating potential etiology and prognosis. Neurology 2003, 60 :1308–1312. PubMed Google Scholar 36. [link.springer.com]
This review will help you better understand the etiology and pathophysiology of migraine and will walk you through clinical evaluation and management approaches that are integral to helping this patient population. [reviewofoptometry.com]
Despite such progress, in view of the complexity of the etiology of migraine, it still remains undiagnosed and available therapies are underused. [raysahelian.com]
Epidemiology
Epidemiology and comorbidity of headache. Lancet Neurol, 7 (2008), pp. 354-361 [15] E.V. Kvisvik, L.J. Stovner, G. Helde, G. Bovim, M. Linde. Headache and migraine during pregnancy and puerperium: the MIGRA-study. [elsevier.es]
Migraine: epidemiology, impact, and risk factors for progression. Headache. 2005 Apr. 45 Suppl 1:S3-S13. [Medline]. [Guideline] Headache Classification Subcommittee of the International Headache Society. [emedicine.medscape.com]
1996 Amsterdam Elsevier (pg. 69 - 74 ) Somesthetic aura: the experience of “Alice in Wonderland”, Lancet, 1998, vol. 351 pg. 1934 Migraine with aura: new understanding from clinical epidemiologic studies, Curr Opin Neurol, 2006, vol. 19 (pg. 286 - [brain.oxfordjournals.org]
Pathophysiology
This dissimilarity is hardly surprising, since it is likely that the different disorders are subserved by equally different underlying pathophysiological processes. [brain.oxfordjournals.org]
The following text provides an overview of ocular migraine, including discussion of accepted terminology, clinical presentation, and pathophysiology. [link.springer.com]
English Angiotensin II, a potent vasoconstrictor, is the primary active hormon of the renin-angiotensin system and an important determinant of the pathophysiology of hypertension. [mymemory.translated.net]
Functional neuroimaging: enhanced understanding of migraine pathophysiology. Neurology. 2000. 55(9 Suppl 2):S36-45. [Medline]. Goadsby PJ. Migraine pathophysiology. Headache. 2005 Apr. 45 Suppl 1:S14-24. [Medline]. Lagman-Bartolome AM, Lay C. [emedicine.medscape.com]
Prevention
These drugs may also be used in the prevention of migraines. Calcium-channel blockers: Several types of these drugs, such as verapamil (Verelan) and nifedipine (Procardia), may work to prevent migraines by stopping the constriction of blood vessels. [eyehealthweb.com]
Prevention To prevent a migraine, avoid triggers such as stress, fatigue, smoking and certain foods, such as alcohol or chocolate. [health.ccm.net]
Can ocular migraines be prevented? Sometimes. Having retinal migraines can raise the risk of permanent vision loss in one eye, so your doctor may want you to take medication to prevent them. [oregoneyes.net]