MigraineMind research summary
[Migraine aura: differential diagnostics between ophthalmology and neurology].
Ophthalmologie | 2026
ReviewSummary
Migraine aura is a significant phase of migraine that deserves attention. About 25% to 35% of people with migraine experience temporary focal neurological symptoms. These symptoms usually develop gradually and spread over time. Visual symptoms are the most common, including scintillating scotomas and photopsias. Some individuals may also experience sensory, language, motor, and brainstem symptoms. This article reviews migraine aura based on the ICHD-3 diagnostic criteria. Key features include gradual onset and complete resolution within 5 to 60 minutes. It is crucial to differentiate migraine aura from transient ischemic attacks and other disorders. Recognizing isolated aura without headache is emphasized in this review. The article suggests using migraine aura simulations to enhance clinical history-taking. These simulations can also improve patient education significantly. Understanding these symptoms accurately can lead to better patient care and management strategies for migraine. Clinical relevance: This research highlights the need for accurate migraine aura diagnosis to improve treatment outcomes.
Key Learning Points
- Migraine aura is an important phase of migraine that should not be overlooked in patient care.
- 25% to 35% of people with migraine experience temporary neurological symptoms that can affect their daily lives.
- Visual symptoms, such as scintillating scotomas, are the most common types of migraine aura experienced by individuals.
- Accurate diagnosis of migraine aura is essential to differentiate it from other serious conditions like transient ischemic attacks.
- Using migraine aura simulations can enhance both clinical history-taking and patient education, leading to better management strategies.
Original research
Read the original publication and review its full methods and findings on PubMed.
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