People who primarily suffer from migraine with aura may also have attacks of migraine without aura. Headache with the features of "migraine without aura" usually follows the aura symptoms. Less commonly, the aura may occur without a subsequent headache or the headache may be non-migrainous in type.



Migraine with aura is a classical migraine preceded by an aura before the attack. The aura occurs for about 10-30 minutes and then is usually followed by a headache. It is quite similar to a common migraine except in the aspect of the aura.

About 15% of migraine sufferers have a early warning that the headache is coming on. This change in brain function is called an "aura". It is usually a visual symptom, such as an arc of sparkling (scintillating) zig-zag lines or a blotting out of vision or both. The aura is due to changes that take place in the cortex, the outer layer of the brain. This slowly spreading depression of nerve cell activity is believed to account for the pattern of development of the typical aura.

Auras set in about 20-30 minutes before the migraine attack. Some patients also describe the presence of a strange odor, before the onset of a migraine. They also experience a tingling sensation in an arm or leg.

In the classic migraine aura, symptoms build up gradually and move slowly from one visual region or one part of the body to another. For example, the migraine aura sufferer may first notice a black spot in the field of vision.This black spot is often surrounded by flashing lights or bright zig-zag lines as mentioned.

What starts this sequence of events that leads to the aura and migraine? The answers to thisquestion are not fully understood. Migraine sufferers have an inborn susceptibility to factors that normally do not trigger headaches.

In people with migraines, changes in body chemistry, such as menstruation, certain foods, and dozens of environmental influences, such as a change in weather, may trigger a migraine attack. A migraine trigger is any factor that, on exposure or withdrawal, leads to the development of an acute migraine headache. Triggers may be categorized as behavioral, environmental, infectious, dietary, chemical, or hormonal. In medical literature, these factors are known as 'precipitants.'

Neither type of migraine denotes a life-threatening disorder but, they can be chronic and recurrent, thus interfering with a person's daily lifestyle.

Both migraine types have the usual pain, nausea, vomiting and intolerance to light and sound, which is worsened by any physical activity.

Treatment? The treatment for migraines begins with simple painkillers for headache and anti-emetics for nausea, and avoidance of triggers if present. Specific anti-migraine drugs can be used to treat migraine. Homeopathic Drugs and Special all natural ingredient products such as those at the Centre for Pain Relief in Burlington, New Jersey have proven effective. If the migraine condition is severe and frequent enough, preventative drugs might be considered. The most commonly used "reversal" medicines are triptans. Triptans work by boosting the effects of the brain chemical serotonin, which reduces the severity and duration of an attack. Propranolol, a beta blocker, and Topiramate have proven effective for migraine sufferers as well.

When it comes to treatment however, "Migraine is the most misunderstood, misdiagnosed, and mistreated condition in medical practice," states Dr. Seymour

Diamond, M.D., who is the executive chairman for the National Headache Foundation and director of the Diamond Headache Clinic in Chicago.

As always, talk to your doctor about whether or not you have with Aura or without Aura to find the medication that works best for you.