Tag Archive | "retinal migraine"

Confusing Retinal Migraine

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Due to the varied types of the disease, most doctors would diagnose migraine based on the universally accepted standards of The International Classification of Headache Disorders ICHD to avoid misdiagnosis. Retinal migraine is a classic example of confusion and misdiagnosis, simply because the term is often poorly understood and widely misused.
When a migraine sufferer is given a diagnosis that lacks accuracy in diagnostic terms but is given more of a descriptive term, a problem may arise. When these descriptive terms are used frequently, they miss out on its real diagnosis. The International Headache Society IHS came up with a standard diagnosis to make communications easier for patients who need to consult other doctors or change doctors.
Retinal Migraine is an actual migraine diagnosis which is often misused to define any migraine that is associated with any visual symptoms, or a migraine with visual symptoms minus the headache. It is characterized by recurrent attacks of unilateral visual disturbances that precedes the headache period of the migraine attacks, starting with monocular affecting one eye visual symptoms such as scintillations, scotoma, and temporary loss of vision.
Symptoms
Scintillation is the perception of lights flashing in different intensity during the migraine aura and can be a symptom of the aura phase of a migraine attack.
The headache period begins during or within sixty minutes of the visual symptoms that are consistent with migraine without aura Headache duration of 4 to 72 hours.
Symptoms should have at least two of the following characteristics
1. unilateral location
2. pulsatile quality
3. moderate or severe pain intensity
4. aggravation by or causing avoidance of routine physical activity such as walking or climbing stairs
And at least one of these characteristics
1. nausea andor vomiting
2. photophobia heightened sensitivity to light and phonophobia heightened sensitivity to sound
The main difference between retinal migraine and migraine with aura neurological phenomenon is that the former has monocular visual symptoms as well as total, but temporary, monocular blindness.
Since there are no known causes of migraine disease, diagnosis is done by tracing the personal and family medical history of the patient to rule out other causes of the symptoms.
Treatment and Remedies
There are several over-the-counter and prescription medicines that can provide migraine remedies or aid in relieving symptoms of attacks when they happen. For most people, treatments to relieve stress prove to be equally helpful as migraine remedies.
Retinal migraine is a diagnosis of exclusion, however, and patients will generally require a complete cardiovascular evaluation to rule-out embolic and other vascular disease as a cause of the visual loss. Patients diagnosed with this condition may be treated in the same fashion as patients with migraine.
Patients who are having infrequent episodes are given medications used for other forms of migraine to relieve other symptoms. These medications can include nonsteroidal anti-inflammatory drugs NSAIDs, anti-nausea medications among others. The choice of medications may depend on the age of the patient’s severity of the condition. For frequent migraine attacks, the same preventive therapies used for other migraines can be explored. But, as always, remember to consult your physicians for proper diagnosis of your condition before taking any medication.

Sight to remember

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The sense of sight is a very powerful tool to see the world. Through the eyes, one can perceive different things, ideas, and features, and even cultures for that matter. The eyes help us make sense of the world around us, even transforming thoughts into reality.

Remember how the first sight of something new or attractive made you glow with wonder. Do you remember the first time you saw something spectacular like a huge waterfall…or a bright rainbow after the rain? Our eyes are the gateways to beauty and splendor.

But the gift of sight is not enjoyed y everyone. Even people who are not clinically blind yet have certain impairments can lose a lot of the visual information that can be found around us. Some people with visual impairments get blurred vision, and much worse, visual migraine. A certain condition that deals with altered vision is called visual migraine. There is temporary visual disturbance caused by a vascular spasm in the brain, usually accompanied by headache. This so-called vascular spasm occurs when there is a decrease of blood flow to the occipital cortex, or the part of the brain related to vision.

Symptoms of visual migraine may include seeing a shimmering light, distorted or blurred vision, pulsating and flashing lights, among others. The headache experienced with this kind of migraine can be very painful and debilitating. Nausea and vomiting are also experienced during a visual migraine attack. A typical episode of visual migraine lasts for fifteen to twenty minutes, then fades away. Fatigue is the common after effect of this kind of migraine.

Symptoms of headaches related to the eyes are as follows burning eyes, fatigue, migraine, sensitivity to light photophobia and sound phonophobia, nausea and vomiting, visual aura certain visuals when a person is under visual migraine, throbbing pain, and headaches that begin after extensive use of the eyes, which usually happens after reading, using the computer, or watching television.

Visual migraine is usually caused by stress and prolonged periods of exposure to bright lights. Using the eyes in a stressful manner or in any stressful activity may result in such condition. The use of eyeglasses can sometimes strain the person’s eyes and may give headaches. Sometimes, headaches are felt if the person experiences sinus conditions, allergies, tumors, hypertension or hormonal changes, not really related to one’s eyesight.

There are three major types of visual disturbances when experiencing visual migraine. Being tired and stressed causes a formation of an irregular polygon of nothingness which is usually experienced following the headaches. The size of the circle of nothingness grows as time passes for about half an hour, then disappears. Another type would also be associated to visual processing. This time, colors are seen but with irregular waves and distorted images. The last type is quite different. It occurs with patterns that are triggered by relaxation, and can quickly lead to a sense of unreality by somewhat getting a 3-D image from what the person already sees.

If visual migraines are to be discussed further, it is factual to know another type of disorder related to visual migraine. Although rare, retinal migraine is also associated to the vascular spasm in which results in full loss of vision. This rare form of migraine causes total blindness in any of the eyes, and usually lasts less than an hour, also with recurring headaches. The headache may occur before or after this attack of retinal migraine. Having visual migraine or even retinal migraine can be disturbing for most people. Proper treatment of these said disorders may help in dealing with such apparitions, or even visual loss retinal migraine.