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Retinal Migraine

Presentation

A 22 year old male dancer presented via his optometrist following an episode of transient visual loss in his left eye. [ncbi.nlm.nih.gov]

Forms of Migraine that present with visual symptoms seem to be an area where there is a great amount of confusion, use of descriptions rather than formal diagnoses, and misdiagnosis. [migrainedisease.org]

It may be difficult to read and dangerous to drive a vehicle while retinal migraine symptoms are present. [en.wikipedia.org]

Like migraine with aura, retinal migraine may also present effects like nausea, vomiting, and light and sound sensitivity. [thehealthsite.com]

Treatment

Non-invasive physical treatments for chronic/recurrent headache. Cochrane Database Syst Rev. 2004(3):CD001878. 30. Biondi DM. Physical treatments for headache: a structured review. Headache. 2005;45(6):738-46. 31. Lenssinck ML, Damen L, et al. [passeportsante.net]

A normal retina exam is consistent with retinal migraine. [4] Treatment [ edit ] Treatment depends on identifying behavior that triggers migraine such as stress, sleep deprivation, skipped meals, food sensitivities, or specific activities. [en.wikipedia.org]

Brief report: treatment of vasospastic amaurosis fugax with calcium channel blockers. N Engl J Med 1993; 329 :396–9. [ PubMed ] [ Google Scholar ] 6. Walsh FB, Hoyt AB. Clinical Neuro-ophthalmology. Baltimore: Williams and Wilkins, 1969:1671. 7. [ncbi.nlm.nih.gov]

Retinal Migraine Treatment: For infrequent attacks, medications used for other forms of Migraine are often employed to relieve the other symptoms. These medications can include NSAIDs, antinausea medications, ergotamines the triptans. [migrainedisease.org]

Prognosis

Medicines used to treat retinal migraines include aspirin, other NSAIDS, and medicines that reduce high blood pressure. [4] Prognosis [ edit ] In general, the prognosis for retinal migraine is similar to that of migraine headache with typical aura. [en.wikipedia.org]

Epidemiology

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]

Pathophysiology

Though migraine pathophysiology is controversial, vasospasm remains a possible contributor/epiphenomenon in retinal migraine. 1 Study funding No targeted funding reported. Disclosure The authors report no disclosures relevant to the manuscript. [n.neurology.org]

Prevention

Petasites hybridus root (butterbur) is an effective preventive treatment for migraine. Neurology. 2004 Dec 28;63(12):2240-4. 7. Pothmann R, Danesch U. [passeportsante.net]

When Migraines are frequent, the same preventive therapies used for other forms of Migraine can be explored. [migrainedisease.org]

When considered necessary, effective treatments include propranolol, 10 verapamil, 5 and nifedipine. 2, 5 Prophylactic aspirin or nifedipine may be tried to prevent exercise induced attacks, 2 and inhaled amyl nitrate can be used early in an attack to [ncbi.nlm.nih.gov]

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