Typical visual aura without headache: a case report
Introduction: The typical aura without headache is a type of migraine with aura regularly assessed by ophthalmology. It is defined as at least two recurrent attacks, lasting from 5 to 60 minutes, of reversible, visual, sensorial and / or language unilateral neurological symptoms. Methods: We present...
| Autores principales: | , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2019
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| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/25068 |
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I10-R327-article-25068 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
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I-10 |
| repository_str |
R-327 |
| container_title_str |
Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
migraine without aura lamotrigine migraine with aura migraña sin aura migraña con aura lamotrigina enxaqueca sem aura enxaqueca com aura lamotrigina |
| spellingShingle |
migraine without aura lamotrigine migraine with aura migraña sin aura migraña con aura lamotrigina enxaqueca sem aura enxaqueca com aura lamotrigina Sanabria Sanchinel, Abel Alejandro Madrid Rubí, Waleska Typical visual aura without headache: a case report |
| topic_facet |
migraine without aura lamotrigine migraine with aura migraña sin aura migraña con aura lamotrigina enxaqueca sem aura enxaqueca com aura lamotrigina |
| author |
Sanabria Sanchinel, Abel Alejandro Madrid Rubí, Waleska |
| author_facet |
Sanabria Sanchinel, Abel Alejandro Madrid Rubí, Waleska |
| author_sort |
Sanabria Sanchinel, Abel Alejandro |
| title |
Typical visual aura without headache: a case report |
| title_short |
Typical visual aura without headache: a case report |
| title_full |
Typical visual aura without headache: a case report |
| title_fullStr |
Typical visual aura without headache: a case report |
| title_full_unstemmed |
Typical visual aura without headache: a case report |
| title_sort |
typical visual aura without headache: a case report |
| description |
Introduction: The typical aura without headache is a type of migraine with aura regularly assessed by ophthalmology. It is defined as at least two recurrent attacks, lasting from 5 to 60 minutes, of reversible, visual, sensorial and / or language unilateral neurological symptoms.
Methods: We present a case report of a male with typical aura without headache.
Results: Male with a history of migraine without aura in adolescence and without vascular risk factors. Referred from ophthalmology by biweekly episodes characterized by central teicopsia that progressively covers the entire visual field in 20 minutes, without being influenced by opening or closing eyes, which disappears after 40 minutes from the beginning. The episodes are not stereotyped, they are not followed by headache, nor do they associate other neurological symptoms. Neurological examination and complementary tests were normal. It is concluded in favor of typical aura without headache and after six months of starting treatment with Lamotrigine there were no recurrences.
Final conclusion: The diagnosis of typical aura without headache begins with an adequate anamnesis. Due to the nature of its manifestations it is necessary to differentiate it from other etiologies such as transient ischemic attacks and focal seizures due to the diagnostic, therapeutic and prognostic implications. It may appear, as in this case, in patients with migraine without aura. Lamotrigine is an excellent therapeutic option in the typical aura without headache. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2019 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/25068 |
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2024-09-03T21:00:39Z |
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2024-09-03T21:00:39Z |
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I10-R327-article-250682024-08-27T18:25:19Z Typical visual aura without headache: a case report Aura visual típica sin cefalea: a propósito de un caso Aura visual típica sem dor de cabeça: relato de caso Sanabria Sanchinel, Abel Alejandro Madrid Rubí, Waleska migraine without aura lamotrigine migraine with aura migraña sin aura migraña con aura lamotrigina enxaqueca sem aura enxaqueca com aura lamotrigina Introduction: The typical aura without headache is a type of migraine with aura regularly assessed by ophthalmology. It is defined as at least two recurrent attacks, lasting from 5 to 60 minutes, of reversible, visual, sensorial and / or language unilateral neurological symptoms. Methods: We present a case report of a male with typical aura without headache. Results: Male with a history of migraine without aura in adolescence and without vascular risk factors. Referred from ophthalmology by biweekly episodes characterized by central teicopsia that progressively covers the entire visual field in 20 minutes, without being influenced by opening or closing eyes, which disappears after 40 minutes from the beginning. The episodes are not stereotyped, they are not followed by headache, nor do they associate other neurological symptoms. Neurological examination and complementary tests were normal. It is concluded in favor of typical aura without headache and after six months of starting treatment with Lamotrigine there were no recurrences. Final conclusion: The diagnosis of typical aura without headache begins with an adequate anamnesis. Due to the nature of its manifestations it is necessary to differentiate it from other etiologies such as transient ischemic attacks and focal seizures due to the diagnostic, therapeutic and prognostic implications. It may appear, as in this case, in patients with migraine without aura. Lamotrigine is an excellent therapeutic option in the typical aura without headache. Introducción: El aura típica sin cefalea es un tipo de migraña con aura valorada al inicio regularmente por oftalmología. Se define como al menos dos ataques recurrentes, de 5 a 60 minutos de duración, de síntomas neurológicos unilaterales reversibles, visuales, sensoriales y/o lenguaje. Métodos: Presentamos el caso clínico de un varón con aura migrañosa sin cefalea. Resultados: Varón con antecedente de migraña sin aura en la adolescencia y sin factores de riesgo vascular. Remitido desde oftalmología por episodios bisemanales caracterizados por teicopsia central que progresivamente abarca todo el campo visual en 20 minutos, sin influenciarse con la apertura o cierre ocular, que desaparece tras 40 minutos desde el inicio. Los episodios no son estereotipados, no se siguen de cefalea, ni asocian otros síntomas neurológicos. La exploración neurológica y las pruebas complementarias fueron normales. Se concluye a favor de aura típica sin cefalea y tras seis meses de iniciar el tratamiento con Lamotrigina no existieron recurrencias. Conclusión final: El diagnóstico de aura típica sin cefalea inicia con una anamnesis adecuada. Por la naturaleza de sus manifestaciones se hace necesario diferenciarle de otras etiologías como accidentes isquémicos transitorios y crisis epilépticas focales por las implicaciones diagnósticas, terapéuticas y pronósticas. Puede aparecer, como en este caso, en pacientes con migraña sin aura. La lamotrigina es una excelente opción terapéutica en el aura típica sin cefalea. Introdução: A aura típica sem dor de cabeça é um tipo de enxaqueca com aura regularmente avaliada pela oftalmologia. É definido como pelo menos dois ataques recorrentes, com duração de 5 a 60 minutos, de sintomas neurológicos reversíveis, visuais, sensoriais e / ou de linguagem unilateral. Métodos: Nós apresentamos o caso clínico de um homem com aura típica sem dor de cabeça. Resultados: Homem com história de enxaqueca sem aura na adolescência e sem fatores de risco vasculares. Refere-se a oftalmologia por episódios quinzenais caracterizados por teicopsia central que cobre progressivamente todo o campo visual em 20 minutos, sem ser influenciado pela abertura ou fechamento ocular, que desaparece após 40 minutos do início. Os episódios não são estereotipados, não são acompanhados de dor de cabeça nem associam outros sintomas neurológicos. Exame neurológico e exames complementares foram normais. Conclui-se a favor da aura típica sem dor de cabeça e após seis meses do início do tratamento com Lamotrigina não houve recidivas. Conclusão final: O diagnóstico de aura típica sem dor de cabeça começa com uma anamnese adequada. Devido à natureza de suas manifestações, é necessário diferenciá-lo de outras etiologias, como acidentes isquêmicos transitórios e crises epilépticas focais, devido às implicações diagnósticas, terapêuticas e prognósticas. Pode aparecer, como neste caso, em pacientes com enxaqueca sem aura. A lamotrigina é uma excelente opção terapêutica na aura típica, sem dor de cabeça. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019-12-04 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://revistas.unc.edu.ar/index.php/med/article/view/25068 10.31053/1853.0605.v76.n4.25068 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 76 No. 4 (2019); 261-263 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 76 Núm. 4 (2019); 261-263 Revista da Faculdade de Ciências Médicas de Córdoba; v. 76 n. 4 (2019); 261-263 1853-0605 0014-6722 10.31053/1853.0605.v76.n4 spa https://revistas.unc.edu.ar/index.php/med/article/view/25068/28411 https://revistas.unc.edu.ar/index.php/med/article/view/25068/28564 Derechos de autor 2019 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |