Presentation
Presented at Louisiana State University, Grand Rounds, April 2010. [eliteplasticsurgeryaz.com]
Conference Presentation titled: Headaches in Patients with Shunts At the 11th National Conference on Hydrocephalus, Dr. [hydroassoc.org]
A small percentage of patients present with pars planitis, perivenous sheathing or uveitis, she added. Jacqueline S. [healio.com]
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]
Entire Body System
- Pain
Medications offer temporary pain relief by blocking pain receptor sites, but do not address the brainwave imbalance which may be contributing to your pain. [braincoretherapy.com]
I’ve found Camomile and peppermint to be very calming and pain relieving after the aura has gone away and only the pain remains. Use pain relieving medication only in case the pain is very strong and you cannot do anything else to relieve it. [m0rd0r.eu]
When people hear the term migraine, they tend to picture a debilitating, painful headache. However, there are several different types of migraine headaches, and not all of them are painful. [hunterdonfamilyeyecare.com]
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]
A migraine is a pain concentrated on one side of the skull, of medium to high intensity and can last from a few hours to several days. A feeling of nausea and sensitivity to light may be added to the cranial pain. [cmpop.com]
- Epilepsy
Elementary visual hallucinations, blindness, and headache in idiopathic occipital epilepsy: differentiation from migraine. J Neurol Neurosurg Psychiatry, 66 (1999), pp. 536-540 [8] M.B. Russell, J. Olesen. [elsevier.es]
Causes Ocular migraines are usually NOT triggered by dietary, traumatic, or low-blood sugar but might still be caused by other common migraine triggers, such as: Bending over Exercise High-altitudes Dehydration Excessive heat People who suffer from epilepsy [migrainerelief.ca]
If you are suffering from an ocular migraine there is no set way to treat it, but doctors do recommend a few treatment options: Taking Aspirin Prescribed drugs used to help treat epilepsy, such as Depakote or Topamax Prescribed antidepressants such as [floridaeyespecialists.com]
Eventually, I got nervous enough to go to the neuro about it and she tested me for epilepsy. My EEGs (30 min and 24 hour ambulatory) came back slightly abnormal, but other tests (MRI, corotid artery) were totally fine. [epilepsy.com]
- Weight Loss
List of 134 causes of Fatigue and Nausea and Headache and Weight loss alternative diagnoses rare causes Comprehensive Information for stiff neck suffers neck pain causes therapeutic neck pillows I suffer from very severe migraines and Some of the most [emergingindustries.eu]
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]
Other symptoms include headaches, jaw claudication, scalp tenderness or necrosis, fever, weight loss, myalgias and arthralgias, malaise and night sweats, she said. [healio.com]
- Falling
* The visual symptoms of migraine fall under three general categories: positive symptoms, negative symptoms and altered/distorted vision. [achenet.org]
(Read about various symptoms falling under the term of eye migraine ) Treating opthalmic migraine If your opthalmic migraine is actually a migraine aura with headache, there are a variety of treatments available. [relieve-migraine-headache.com]
The cause of, or trigger to, menstrual migraine is thought to be the fall of the level of oestrogen that occurs at this time in the cycle. Oestrogen is one of the chemicals (hormones) that control the menstrual cycle. [patient.info]
An active 31-year-old female walks into your office with an unremarkable medical history; she’s a non-smoker who falls within a healthy weight range. [reviewofoptometry.com]
- Chills
The acute phase may be accompanied by nausea, vomiting, chills, polyuria, sweating, facial edema, irritability, and extreme fatigue. [medical-dictionary.thefreedictionary.com]
Besides pain, other headache symptoms may include: Upset stomach or vomiting Hot flashes and chills Stuff or runny nose Dizziness or spinning ( vertigo ) Sore neck or jaw Sensitivity to light, sounds, smells, touch, or motion Confusion Diagnosis Your [m.webmd.com]
Skin
- Sweating
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]
The acute phase may be accompanied by nausea, vomiting, chills, polyuria, sweating, facial edema, irritability, and extreme fatigue. [medical-dictionary.thefreedictionary.com]
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]
Other symptoms include headaches, jaw claudication, scalp tenderness or necrosis, fever, weight loss, myalgias and arthralgias, malaise and night sweats, she said. [healio.com]
Ears
- 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]
Eyes
- Scotoma
Left : a scintillating scotoma, spreading at the intervals shown. [brain.oxfordjournals.org]
[…] phenomenon, e.g., scintillating scotomas. migraine, n See headache, migraine. [medical-dictionary.thefreedictionary.com]
Certain visual signs occur before or during a migraine attack: perception of scintillating scotoma, or flickering; spots in vision. [health.ccm.net]
Visual migraines result from cortical spreading depression and are also commonly termed scintillating scotoma. [en.wikipedia.org]
- Photophobia
Migraines first appear before puberty and remit at menopause; they may be accompanied or preceded by nausea, vomiting, phonophobia, and photophobia or other visual phenomena (e.g., hemianopia, scotomas, fortification phenomenon). [medical-dictionary.thefreedictionary.com]
Other research suggests that migraine photophobia is caused by melanopsin-containing retinal ganglion cells, which mediate light input. [mdedge.com]
[…] symptoms, such as occurs in ophthalmic migraine, basilar migraine, or abdominal migraine … Medical dictionary migraine — A symptom complex occurring periodically and characterized by pain in the head (usually unilateral), vertigo, nausea and vomiting, photophobia [medicine.academic.ru]
Her Migraines typically beginning with six to 18 hours of mood swings, excessive yawning, food cravings, and unusually frequent urination followed by tiny blind spots in her vision (scotoma) and extreme sensitivity to light (photophobia) and sound (phonophobia [healthcentral.com]
- Diplopia
She said visual symptoms include amaurosis fugax, diplopia and sudden visual loss from ischemic optic neuropathy. [healio.com]
Other types of treatment If you develop double vision (diplopia), you may be referred to a specialist health professional who manages problems with eye muscles (an orthoptist). [patient.info]
[…] minutes, but usually lasts as long as about 20-30 minutes ." http://www.healthscout.com/ency/68/226/main.html "Description of Ocular Migraine - In opthalmoplegic migraine, lateralized pain (often around the eye) is accompanied by nausea, vomiting, and diplopia [skepticforum.com]
Some of the disorders treated by neuro-ophthalmologists include: Double Vision Double vision, also known as diplopia, is a visual disturbance where two images of the same object are seen. [brandywineeye.com]
- Eye Pain
pain Loss of color vision Rapid loss of vision Pain Headache Diagnosis of Optic Neuritis The doctor will be able to diagnose the patient’s condition after a thorough medical examination of the eyes as well with a series of tests such as: Vision and color [brandywineeye.com]
The most common side effects reported include: increased eye pressure, conjunctival blood spot, eye pain, eye redness, ocular hypertension, cataract, vitreous detachment, and headache. [fi.health-root.com]
Call your doctor at once if you have: eye pain or increased watering; or severe swelling, redness, burning, or discomfort in or around your eye. [alldiscountpills.com]
A yearly dilated eye exam is often recommended for people with high blood pressure or diabetes. Doctors also use mydriatics to reduce painful spasms of the ciliary muscles of the eye. [healthline.com]
EBV shortcuts currents and electrical currents that go to the eye causing these floaters. Eye Pain If you have trigeminal neuralgia pain up the neck and jaw, you might get told you have TMJ. [medicalmedium.com]
- Visual Impairment
However, DOH specialists in the PDAO (persons with disabilities affairs office) in your town or city hall have a set protocol for determining who is visually impaired and who can qualify for a PWD ID based on visual acuity, or the lack of it. [pwdphil.com]
Visual impairment such as the coming together of spots or tunnel vision where the vision narrows and it's hard to see the periphery Visual changes such as flashing rays of light, zigzag lightning patterns, bright-colored streaks, halos, diagonal lines [thedailymigraine.com]
According to the Mayo Clinic, ocular migraines (also called “retinal migraines” or “ophthalmic migraines”) are migraine headaches that cause temporary blindness or visual impairment. [migravent.com]
The pain is usually felt in the center of your brow, however, while migraine pain is typically felt on one side of the head—usually the same side as the eye with visual impairment. [blog.themigrainereliefcenter.com]
Psychiatrical
- Visual Hallucination
Particularly when visual hallucinations result from disorders of the visual system, the disorder may be far more clearly identified when revealed by self-illustration. [brain.oxfordjournals.org]
The migraine may produce additional symptoms such as: Pulsating or throbbing sensation in the head Light and sound hypersensitivity Nausea or vomiting Auditory or visual hallucinations Tenderness or soreness on that side of the head Symptoms worsen with [migrainementors.com]
Visual disturbances are common and can include visual hallucinations, such as sparks, light flashes, zigzags of light or visual field defects. Opthalmoplegic migraine is rare ." http://ezinearticles.com/?How-Do-I-Know ... [skepticforum.com]
Elementary visual hallucinations, blindness, and headache in idiopathic occipital epilepsy: differentiation from migraine. J Neurol Neurosurg Psychiatry, 66 (1999), pp. 536-540 [8] M.B. Russell, J. Olesen. [elsevier.es]
- Hunger
Triggers which may contribute to Migraines include: Stress Premenstrual changes Alcohol Consumption Hunger Use of Oral Contraceptives Certain foods such as: Red wine Chocolate Aged cheese Milk Chicken livers Meats preserved in nitrates or Foods prepared [your-eye-sight.org]
Hunger. Diarrhoea. Tummy (abdominal) pain. Passing lots of urine. Going pale. Sweating. Scalp tenderness. Sensations of heat or cold. Migraine with aura This is less common than migraine without aura. [patient.info]
Neurologic
- Headache
Headache Stories: Read | Submit Resources Blog Headache Tools Publications Webinars Research Trials About Board Staff Certification Find A Provider Contact Membership Donate Headache Stories: Read Headache Stories: Submit Resources Blog Headache Tools [headaches.org]
Ophthalmic migraine Migraine involving the eyes but without headache. Migraine, due to a spasm of blood vessels in the brain, usually causes a headache. [medicine.academic.ru]
- Aura
Spreading wave-like events were detected during the aura. Capturing an aura such as this was exceptional. Therefore, Drs. [headaches.org]
The visual aura is most often not associated with a headache, however an aura can precede the classic migraine headache. [drmalara.com]
Patients occasionally describe these migraine auras as kaleidoscopes. [headacheandmigrainenews.com]
- Stroke
These warning signs are very similar to the symptoms of a stroke. What is a Stroke? A stroke is a brain attack caused by either a blockage or clot in an artery of the brain (ischemic stroke) or by bleeding (hemorrhagic stroke). [strokesmart.org]
The key point is that migraine aura symptoms develop relatively slowly, and then spread and intensify, while stroke symptoms are sudden, according to the Stroke Association. [dailymail.co.uk]
At this point, if you'd had a stoke... well, you'd have had a stroke. [medhelp.org]
National Stroke Association. What is TIA? Available at: www.stroke.org (accessed February 21, 2012). 4. National Stroke Association. Warning signs of stroke. Available at: www.stroke.org (accessed February 7, 2012). 5. Hubel DH. [reviewofoptometry.com]
Stroke. 1976 Jul-Aug;7(4):379-81. Abstract Thirty-three of 129 patients who incurred isolated ophthalmic migraine had monocular attacks of scotomatous visual field loss. [ncbi.nlm.nih.gov]
- Confusion
OM is also often confused with migraine with aura but in that case even if the visual disturbance is on one side, it still affects both eyes. [thedailymigraine.com]
Sometimes, people confuse the symptoms of ocular migraines with those of migraines with aura, particularly in the absence of head pain. [migravent.com]
Ocular, Optical, and Ophthalmic Migraines Migraine disease is not only painful and potentially debilitating, it can be confusing. There are different types of Migraine, and some should be approached and treated differently than others. [healthcentral.com]
- Seizure
The patient was confused following the seizure; she experienced no further seizures after starting treatment with sodium valproate. [elsevier.es]
"At first I thought I might be having a seizure." She headed straight to an eyeglass store in the mall. "The optometrist told me I was having an ocular migraine and said they were fairly common. [gmtoday.com]
Acephalalgic migraine should be differentiated from transient ischemic attacks, occipital lobe seizures, and temporal lobe seizures. [emedicine.medscape.com]
Medicines can include: Anti-seizure medicines, such as Depakote or Topamax Tricyclic antidepressants, such as Elavil or Pamelor Calcium channel blockers, such as Calan Beta blockers, such as Timolol or Inderal Your eye doctor may also send you to a neurologist [oregoneyes.net]
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
Medicines used to treat retinal migraines include aspirin, other NSAIDS, and medicines that reduce high blood pressure.[5] Prognosis[edit] In general, the prognosis for retinal migraine is similar to that of migraine headache with typical aura. [en.wikipedia.org]
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]
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]
: Comorbidity of migraine and depression: investigating potential etiology and prognosis. Neurology 2003, 60 :1308–1312. PubMed Google Scholar 36. [link.springer.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]
The epidemiology, burden, and comorbidities of migraine. Bigal ME, Lipton RB. Neurol Clin. 2009 May;27(2):321-34. Review. 40. Neurologie, editions Masson, 2008, J. Cambier, H. Dehen, M. Masson. 41. [passeportsante.net]
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]
128 - 49 ) Visual disturbances in migraine, Towards migraine 2000., 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 [brain.oxfordjournals.org]
Pathophysiology
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]
Migraine pathophysiology: lessons from mouse models and human genetics. Lancet Neurol, 14 (2015), pp. 65-80 [10] S.K. Aurora, Y. Cao, S.M. Bowyer, K.M.A. Welch. The occipital cortex is hyperexcitable in migraine: experimental evidence. [elsevier.es]
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]
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]