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Migraine With Aura: Symptoms, Causes, and Treatments

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A migraine with aura is a special type of headache. Here, the brain sends a warning sign before the big headache comes!

Written byDr. Parvathi V

Medically reviewed byDr. Abhishek Juneja

Published At January 24, 2024
Reviewed AtMarch 25, 2025

Introduction

Did you know that a migraine is not just all about a bad headache? It’s got some extra stuff, too! Sometimes, you might get a warning signal called an aura from your brain before or during the migraine attack! This can make you see flashing lights and zigzag patterns or even make it difficult to talk. Whoa! But don’t worry, this doesn’t happen every time, and it usually lasts only 30 to 60 minutes. And guess what? It’s not dangerous! With the right medicine and healthy habits, migraines can be managed so you feel much better.

What Is a Migraine With Aura?

Migraine with auras is a neurological disorder marked by recurring headaches and sporadic sensory disturbances called auras. These auras, which can cause difficulties speaking, seeing, or feeling, usually occur before or concurrently with the headache. Around 25 percent of people who get migraines are also thought to have symptoms of aura. This type of migraine with aura is called a classic migraine. Meanwhile, a common migraine skips the aura and jumps straight to the headache!

What Are the Symptoms of Migraine Aura?

Did you know that migraine auras can look and feel different for everyone? Here are some stuff that can happen:

  • Visual Symptoms: This is common. You may see blind areas (scotomas), zigzag lines, shimmery lines, and flashing lights, or you could even go totally dark (vision loss) for a while.

  • Sensory and Other Disturbances: This may cause tingling or numbness, trouble speaking, or even weakness.

In addition to these aura symptoms, migraine patients often experience a strong headache. This headache is typically confined to one side of the head and is frequently described as throbbing or pulsating. Sensitivity to light and sound, nausea, and vomiting are other typical symptoms. A migraine attack may last anywhere from a few hours to many days.

What Are the Causes and Triggers of Migraine Aura?

Have you ever wondered why migraines with auras happen? Well, scientists are still trying to figure it out! But here’s what they think: Something called cortical spreading depression occurs in the brain. Woah! Big words? It's like a tiny electrical wave moving across a part of your brain called the visual cortex, which causes changes in its sensory function for a little while, which is responsible for the aura.

However, a number of variables have been found to influence its potential development. Genetics is one of these factors. According to studies, people who have a family history of migraines are more likely to get migraines with auras. Migraine with aura has also been connected to hormone changes, especially in women. Migraines can be brought on by fluctuations in estrogen levels, including those that happen during menstruation or menopause. Some triggers may also cause migraine aura, such as:

  • Certain foods like chocolate, aged cheeses, coffee, alcohol, and the like.

  • Changes in weather patterns.

  • Stress.

  • Sleep deprivation.

  • Bright lights.

Types of Migraine Aura

Let's check them out! Different types include:

  • Visual Aura: This one is super common; about 9 out of 10 people with migraines get it! You might see flashing lights, shimmery lines, zigzag lines, or blurry spots. It can happen in one or both eyes, but don’t worry, it’s just temporary!

  • Sensorimotor Aura: This one makes your body feel numb, weak, or tingly. Some people even feel confused or scared for a little bit.

  • Dysphasic Aura: This one is super rare. It makes talking really difficult to speak.

Diagnosis and When to See a Doctor?

Diagnosis includes:

  • A physical examination along with medical history.

  • Other tests include a spinal tap to examine the cerebrospinal fluid, blood tests, or brain imaging tests, like an MRI (magnetic resonance imaging) or CT (computed tomography) scan. Doctors don’t usually need these tests, but if things seem a little different or unusual, they might check just to be sure.

  • A stroke can have similar symptoms, but the difference is that stroke happens super fast, and migraine aura comes slowly.

What Are the Treatment Options for Migraine With Aura?

Migraine with aura cannot be cured, but there are a number of therapeutic alternatives that can help control the symptoms and lessen the frequency and severity of episodes. These include:

A. Immediate Relief:

  • When a migraine attack starts, many take acute treatment drugs to relieve symptoms right away. These could include prescription drugs like triptans or over-the-counter pain-relieving medicines like Acetaminophen or Ibuprofen.

  • Other medications include Dihydroergotamine nasal spray, antinausea medicines, and calcitonin gene-related peptide (CGRP) antagonists.

  • Botox can also provide relief.

B. Long-Term Management:

  • Avoiding triggers.

  • Maintaining a healthy life.

  • Considering herbal supplements.

  • Consideration may also be given to massage treatment, aromatherapy, and chiropractic adjustments as further alternative therapies.

What Are the Prevention Strategies?

There are steps people can take to lessen the frequency and intensity of migraine attacks.

  • Avoiding the factors causing migraines. A headache record may be necessary to monitor the symptoms and spot patterns.

  • Adopting a healthy lifestyle.

  • Managing stress.

  • Sticking to a regular sleep pattern.

  • Eating a balanced diet.

  • Exercising frequently.

  • Consuming less alcohol and caffeine.

  • Magnesium supplements can reduce migraine attacks and aura.

  • Sometimes, preventive medicines may also be given. These include beta-blockers, antidepressants, calcium channel blockers, and antiepileptic drugs.

Living With Migraine Aura

Living with a migraine aura can be a little tough! But with the help of the right medicines and preventive strategies, you can manage this. Additionally, to cope with this, find the triggers, sleep well, stay relaxed, maintain a migraine journal, and stay in a dark room when an aura comes up. With all these tricks and the right medicine, you can manage migraines like a pro! You’ve got this!

Conclusion

Migraines with aura are not a serious condition but can make daily life difficult. By taking a few steps, such as knowing about its cause, learning the warning signs, and learning preventive measures, you can totally manage it and feel much better! Always keep in mind that doctors are the best helpers who can give you the best-tailored advice!

Key Takeaway From iCliniq

At iCliniq, doctors know that migraine with aura can be a tough situation to handle, but don’t worry, it’s not a dangerous condition. With the help of prescribed medicines and preventive medicines, and by making some changes in your lifestyle, you can keep it under control. You can always approach iCliniq doctors if you have new or worse symptoms. They know how to help you!

We at iCliniq are there to help and support you in this migraine journey.

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Frequently Asked Questions

Yes, it is possible to develop a migraine aura without a headache. This is called a silent migraine or acephalgic migraine. The aura's symptoms usually include vision changes like flashing or shimmering lights, patterns, blind spots, or zigzag lines. Other symptoms can also occur, like numbness or speech difficulties.

The migraine aura usually lasts five minutes to one hour. It usually comes gradually and peaks within an hour before the start of the headache. But not everyone will experience an aura.

Some symptoms which can be a cause of concern include:


- Sudden vision loss.


- Sudden numbness.


- Sudden speaking difficulty.


- Sudden confusion.


- Sudden weakness.


- New symptoms.


- Symptoms that do not go away within one hour.

Astroke is a condition in which the blood supply to the brain is stopped. Stroke can have similar symptoms, but the difference is that the symptoms of stroke (vision changes, weakness, and speech difficulty) occur suddenly, and the symptoms of migraine come slowly. Stroke requires emergency treatment, whereas migraine aura does not.

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