Migraine With Aura


A migraine with aura, previously referred to as a classic migraine, is a migraine that’s preceded or accompanied by visual, auditory, and other sensory warning signs that occur before or at the onset of migraine headache. These warning signs are also called a prodrome and usually develop gradually over 5-20 minutes and last for less than one hour. The pain usually occurs in the front portion of the head on one or both sides of the temples. The sensation may bring on a throbbing sensation and can last from four to 72 hours.


Symptoms of a migraine with aura may include any of these:

  • Vomiting
  • Nausea
  • Dark circles under the eyes
  • Yawning
  • Irritability
  • Low blood pressure
  • Sensitivity to light, sounds, or motion

A migraine with aura can come with other symptoms, which typically begin 30 minutes or less before the headache does. This is referred to as a prodrome. The prodrome or aura may last for five to 20 minutes and can continue even after the headache retreats. Symptoms of aura include:

  • Weakness
  • Blind Spots
  • Seeing zigzag patterns
  • Sensation of prickling skin
  • Weakness
  • Hallucinations
  • Blindness in vision field


Before physicians will select your treatment, a full exam that may include neurological exams will be performed. In addition to these tests and physical evaluations, these questions may be asked:

  • Do you suffer from any allergies?
  • Do any family members have migraines or other headache types?
  • Do you experience high levels of stress?
  • Are you currently using any birth control medications that can cause migraines?

Other tests may also be required to ensure your migraines are not being caused by other factors. These tests may include:

  • Image scans such as X-ray, CT scan, or MRI
  • Blood tests


First, if there are underlying causes for your migraines, your doctor will identify those issues and recommend appropriate treatment. Once all other causes are ruled out, a path of relieving symptoms and preventing future attacks is taken.

To begin treatment, your doctor may recommend the following actions to help relieve symptoms:
Seclude yourself to a quiet, dark room. Place cold compresses on the painful areas. Take pain-relieving medications such as Tylenol (acetaminophen) or aspirin Take non-steroidal anti-inflammatory medication (called NSAIDS) such as ibuprofen or naproxen

In addition to the above treatment, your doctor may suggest additional ways to help prevent additional migraines. These steps might include taking specific medications along with avoiding any triggers that cause migraines.


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