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Ocular Migraine

Visual Migraine


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]
Congestive Heart Failure
  • More recently, I developed mild Congestive Heart Failure. After the surgery the Ocular Migraine occurred 4-6 time a day. This really disrupted my life. After seeing numerous Doctors, a Neurologist suggested we try Neurontin.[drugs.com]
Down Syndrome
  • Two studies in particular, one involving twins, found that the genetic link is weak or is at least weaker than other genetically-linked conditions such as depression or Down syndrome.[paindoctor.com]
Jaw Pain
  • Giant cell arteritis: Also called temporal arteritis or cranial arteritis, this condition involves inflammation of the arteries in the temple and may cause vision loss, headaches, or other symptoms such as fevers, weight loss, neck or jaw pain, and scalp[eyehealthweb.com]
Numbness of the Tongue
  • The migraines usually hit fast and hard with symptoms including blind spots, numb hands and tongue, vomiting and of course head splitting pain.[ask.metafilter.com]
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]
Osteoporosis
  • I also have strange itching in my upper back and across the mid section which my GP said is "notalgia" a nerve trigger where the perception of the itching is due to a spine issue--(perhaps osteoporosis?)[drugs.com]
Shoulder Pain
  • Recently I did a blog post on how inversion tables can help with neck tension Tagged as: how to relieve neck pain neck pain relief neck pain relief with yoga relief from neck pain and shoulder pain Three Ways to headache nausea cures under treatment obama[emergingindustries.eu]
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]
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]
Distractibility
  • Tension headaches tend to be distracting but not debilitating. Only in rare cases will there be light or sound sensitivity. In a migraine, however, the pain is moderate to severe. Many patients experience a persistent, intense pounding or throbbing.[healthline.com]
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

  • . : 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]
  • Additionally, gastroparesis, which occurs during migraine, has been implicated as an etiologic factor for cyclic vomiting and abdominal migraine. [51, 52, 53] A serum lactate level is helpful in these children to exclude mitochondrial disorders.[emedicine.medscape.com]

Epidemiology

  • 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.[brain.oxfordjournals.org]
Sex distribution
Age distribution

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]
  • 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]

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