Migraine aura

Migraine aura symptoms and management

Migraine aura: rather intense headaches

Migraine patients with auras do not have a particular neurological profile. There is a slight feminine predominance after puberty.

With age, some migraine sufferers with aura or headache less and less, they may eventually disappear. The headache of migraine with aura is graded moderate to severe in 90% of people.

“Will” one day, “will” always? In two thirds of people with migraines with aura, a headache will always be present. This headache will most often be identical to migraine without aura, sometimes of shorter duration.

For about 35%, the presence of the aura will vary depending on the crisis.

But there is a small number of migraineurs (5%) who fear auras without ever suffering any headache!

Any variation in the reactions of the aura (nature, duration greater than 60 minutes, brutal installation, etc.) should be reported to the doctor. In rare cases, clinical and clinical, in the aurora, say it as a stroke, lymphocytic meningitis, cerebral venous thrombosis etc. “Crisis treatments are intended to prevent or shorten migraine headache. A “benefit” of migraines with aura is that the person can take part of his crisis treatments (so-called non-steroidal anti-inflammatory drugs or aspirin) from the beginning of the aura and thus enhance its effectiveness. She will then wait for the onset of the headache herself to take a specific anti-migraine (triptan). Triptans taken before the onset of headache are usually ineffective. Hence the recommended sequence: an anti-inflammatory from the beginning of the aura, and a triptan from the beginning of the headache

The Migraine aura, a cardiovascular risk factor

Migraines with aura are a risk factor per se for ischemic stroke (cerebral infarction by default of brain irrigation), especially in women younger than 45 years of age, with a high risk of smoking or smoking. estrogen / progestin-like contraception. It is also absolutely contrindicated in case of migraine with aura.

Women suffering from migraines with aura also have a higher risk of deep vein thrombosis (blood clot in the lower limbs, which may be at risk of pulmonary embolism) when taking certain contraceptive pills.

According to a study by Inserm (Unit 7 08) * on 27 860 women followed for 15 years, those suffering from migraine “with aura” would be three times more likely than others to develop a cardiovascular disease (myocardial infarction or deaths following a cardiovascular event) …

What is impressive in this study is that aura is a risk factor just after high blood pressure but especially before diabetes, smoking, obesity or even family history of cardiovascular disease!

Even if the number of migraine patients with aura who have a heart attack or stroke remains very low, this risk can be reduced by adopting a healthy lifestyle: ban smoking, monitor blood pressure and weight, practice an activity and give priority to pure progestin contraceptives and intrauterine devices.

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