1/27/2024 0 Comments Frequent migraine aura![]() ![]() Treatment may be complemented with antivertigo agents (e.g., dimenhydrinate ).Diagnosed migraine plus ≥ 5 episodes of vestibular symptoms (e.g., vertigo) lasting ≤ 72 hours.Most common cause of spontaneous episodic vertigo.≥ 2 fully reversible brainstem symptoms (e.g., dysarthria, vertigo, tinnitus, diplopia, ataxia, hearing loss, impaired consciousness).Patients have episodes of migraine preceded at least some of the time by brainstem aura (but can also be preceded by typical aura).The typical migraine headache is “POUND”: P ulsatile, O ne-day duration, U nilateral, N ausea, D isabling intensity.Īll variants of acute migraine should raise suspicion for other diagnoses (e.g., transient ischemic attack), especially if the first aura occurs after 40 years of age, auras last an atypical amount of time, or symptoms are predominantly negative. Accompanying symptoms: photophobia, phonophobia, and nausea / vomiting.Course: progression of pulsating, throbbing, or pounding pain. ![]()
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