![]() ![]() These episodes have been coined ‘‘late-life migraine accompaniments,” “migraine equivalents,” “acephalic migraine,” or “migraine aura without headache.” The International Headache Society classified typical aura occurring in the absence of any headache as “typical aura without headache.” ![]() In only 40% of cases, headache occurred in association with the episodes. He proposed the late onset (for the first time after the age of 45 years) of ‘‘scintillating scotomas, numbness, aphasia, dysarthria, motor weakness, and brain stem symptoms.” These reports were enriched by the further description of 85 new cases with similar results in 1986. Lashley provided the first assessment of temporal spreading with quantitative recording of migrainous scotomas and fortification patterns in 1941 ( 48).įisher described a series of 120 patients: the majority had visual symptoms alone or associated with paresthesias or speech disturbances, followed by brainstem symptoms and few motor deficits ( 22). The absence of descriptions of the painter suffering from headaches may infer the presence of migraine aura without headache.Īura typically begins before headache but could also occur simultaneously or without headache. His works feature illusory splitting in the vertical plane of his subjects' faces, and this has been compared to similar paintings by migraine patients depicting what they see during their aura phase ( 56). There have also been suggestions that the painter Pablo Picasso may have had migrainous auras. His depiction of Alice may be a manifestation of the micropsia, macropsia, or metamorphopsia seen in migrainous auras of childhood. Lewis Carroll's pictorial descriptions in Alice in Wonderland and Alice Through the Looking Glass have been ascribed to his migrainous auras. Migrainous aura has been used to explain unusual visions, experiences, and perceptions that have been reported by well-known personages.
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