Chair of Child Neuropsychiatry, "C. Mondino" Foundation, Neurological Institute IRCCS, University of Pavia, Italy
A Prospective Study of Juvenile Migraine With Aura
Article first published online: 18 MAY 2005
Headache: The Journal of Head and Face Pain
Volume 34, Issue 5, pages 275–278, May 1994
How to Cite
Lanzi, G., Balottin, U. and Borgatti, R. (1994), A Prospective Study of Juvenile Migraine With Aura. Headache: The Journal of Head and Face Pain, 34: 275–278. doi: 10.1111/j.1526-4610.1994.hed3405275.x
- Issue published online: 18 MAY 2005
- Article first published online: 18 MAY 2005
- Accepted for publication: January 22, 1994
- Cited By
- Pediatric migraine;
- prospective study;
- migraine with aura
We studied a group of young migraine with aura patients with whom it was possible to reconstruct the course and the characteristics of the disturbances preceding or accompanying the onset of the headache.
The 47 subjects, 31 female and 16 male, were diagnosed (IHS classification) as Migraine with typical aura (n=40), Familial hemiplegic migraine (n=1l), Basilar migraine (n=6), and Migraine with prolonged aura (n=5).
Visual (43 cases) and sensory disturbances (20 cases) were the most commonly described symptoms; a motor deficit was reported in 10 out of 47 cases. Other disturbances such as vertigo attacks, aphasia, spatial disorientation, loss of consciousness or a decreased level of consciousness with the appearance of automatic movements, were much rarer.
In our cases the visual disturbances were not isolated but were accompanied by other symptoms in 29 cases, and in 5 of the 18 cases in which there were only visual symptoms, the disturbances presented in succession; a "march" of the sensory and motor disturbance was found in 66% and 68% of cases, respectively.
The data from our cases in which the disturbance seems most frequently to originate in the occipital areas (visual disorders) and then to spread to the temporo-parietal regions in part confirms that there is a posterior to anterior dynamic in the cerebral areas involved.