"Scintillating scotoma"

Hemicrania Continua Associated with Classic Scintillating Scotoma Hemicrania continua (HC) is a rare primary headache disorder, characterized by persistent unilateral pain associated with cranial autonomic symptoms and prompt response to indomethacin. While migrainous features (including aura) have been recognized in cluster headache, there have been only single reports of HC with aura. Here, we disturbances compatible with scintillating scotoma. We propose a potential link between HC and visual aura, which parallels similar observations in other trigeminal autonomic cephalalgias and more specifically confirms previous observational data on aura in HC, thus highlighting potentially shared pathophysiological mechanisms.

epilepsy. While implanted for stereotactic electroencephalography with 94 electrode contacts across bilateral hemispheres, she experienced a typical migraine with aura. Stereotactic electroencephalography demonstrated low-voltage suppression starting in the left mesial occipital cortex and propagating anteriorly at 3 mm/min, clinically correlating with a contralateral right superior scintillating scotoma

but there were no scintillating scotomas or ophthalmic symptoms. The headache resolved in the standing or sitting position but was exacerbated and became unbearable within a few seconds when the patient was in the supine position. Therefore, she was unable to lie supine at night. Computed tomography angiography (CTA) of the head on day 2 and magnetic resonance imaging (MRI) and magnetic resonance angiography

Seeing Blue Dots After COVID-19 Infection. A 12-year-old female individual receives a diagnosis of SARS-CoV-2 and reports bilateral blurry vision, large blue paracentral scotomata, and a migraine without a scintillating scotoma. What would you do next?

: 1. unilateral location 1. Visual“scintillating scotomas (bright rim around an area of visual loss), teichopsia (subjective visual

A. Flashes, float-ers and fuzz. Br J Hosp Med (Lond) 2013;74:91–95. Table 1. Differential diagnosesFlashes• Ophthalmic –Posterior vitreous detachment –Retinal tear/hole –Retinal detachment –Optic neuritis – photopsia on eye movement, retrobulbar pain• Non-ophthalmic –Migraine – scintillating scotomas, coloured lights, bilateral, evolves over 5 to 30 minutes before resolving with onset of a headache

presented with scintillated scotomas at the level of the right eye; in case report 2, 69-year-old man presented with respiratory distress, persistent cough resistant to medical therapy, pain, and blurred vision. In case report 1, fundus and ultrasonographic examination showed circumscribed choroid thickening with dome-like appearance compatible with repetitive lesion. Computed tomographic/y (CT) showed

eyes. A fortification spectrum is common or a spreading, scintillating scotoma in the shape of a jagged crescent. Geometric visual patterns and even hallucinations may occur. This is fully reversible. An aura has no motor symptoms.Those who experience this type of migraine may also have sensory symptoms (paraesthesia or numbness) that are unilateral and also fully reversible. Numbness usually starts

but not simultaneous, bilateral, and simultaneous); (2) morphology (flash, zig-zag, strobe, scintillating scotoma, twinkling, other); (3) color (white, silver, yellow, combination, other); (4) location (temporal, central, other); (5) duration (quick, prolonged, constant, other); (6) frequency; (7) diurnal appearance (day, night, both); (8) stimuli (turning head or eyes, hypoglycemia, hyperglycemia, other); and (9

XII. Diagnosis: Classic Migraine with Aura (International Headache Society Diagnostic Criteria) 1. Headache associated with Migraine aura, with NO motor weakness, and at least one of the following: 1. Visual aura (fully reversible) 1. Scintillating scotoma or fortification spectra 1. Flickering lights, spots or lines in the central Visual Field 2. Photopsia 1

. Scintillating Scotoma 8. Headache 9. Eye Pain 10. Chest Pain 11. Drop attacks (sudden spontaneous fall) X. Signs 1. Findings most suggestive of TIA or CVA 1. Unilateral Motor Weakness 1. May be associated with spasticity, Clonus or rigidity 2. Speech deficits 2. Cranial Nerve deficits: General 1. Facial drooping 2

postoperative pain is unusual and should alert the surgeon to the possibility of a serious hematoma. Hemorrhagic compression of the optic nerve can lead to visual loss, a complication reported to occur once per 40,000 blepharoplasties. The patient with a retrobulbar hematoma usually complains of a steady, lancinating pain, similar to that of glaucoma. [16] The patient may also report scintillating scotomas

, find out if hearing fluctuates. * * Determine if the patient has a headache or visual symptoms such as scintillating scotoma. * * Ask the patient about brainstem symptoms such as diplopia, dysarthria, facial paresthesia, or extremity numbness or weakness. * * Ascertain the degree of impairment during an episode. * * Inquire about exposure to ototoxic medications

positive visual phenomenon is the scintillating scotoma, an arc or band of absent vision with a shimmering or glittering zigzag border Physical findings during a migraine headache may include the following: * * Cranial/cervical muscle tenderness * * Horner syndrome (ie, relative miosis with 1–2 mm of ptosis on the same side as the headache) * * Conjunctival injection

positive visual phenomenon is the scintillating scotoma, an arc or band of absent vision with a shimmering or glittering zigzag border Physical findings during a migraine headache may include the following: * * Cranial/cervical muscle tenderness * * Horner syndrome (ie, relative miosis with 1–2 mm of ptosis on the same side as the headache) * * Conjunctival injection

positive visual phenomenon is the scintillating scotoma, an arc or band of absent vision with a shimmering or glittering zigzag border Physical findings during a migraine headache may include the following: * * Cranial/cervical muscle tenderness * * Horner syndrome (ie, relative miosis with 1–2 mm of ptosis on the same side as the headache) * * Conjunctival injection

positive visual phenomenon is the scintillating scotoma, an arc or band of absent vision with a shimmering or glittering zigzag border Physical findings during a migraine headache may include the following: * * Cranial/cervical muscle tenderness * * Horner syndrome (ie, relative miosis with 1–2 mm of ptosis on the same side as the headache) * * Conjunctival injection

positive visual phenomenon is the scintillating scotoma, an arc or band of absent vision with a shimmering or glittering zigzag border Physical findings during a migraine headache may include the following: * * Cranial/cervical muscle tenderness * * Horner syndrome (ie, relative miosis with 1–2 mm of ptosis on the same side as the headache) * * Conjunctival injection

positive visual phenomenon is the scintillating scotoma, an arc or band of absent vision with a shimmering or glittering zigzag border Physical findings during a migraine headache may include the following: * * Cranial/cervical muscle tenderness * * Horner syndrome (ie, relative miosis with 1–2 mm of ptosis on the same side as the headache) * * Conjunctival injection