Scintillating scotoma
Scintillating scotoma is a common visual aura that was first described by 19th-century physician Hubert Airy (1838–1903). Originating from the brain, it may precede a migraine headache, but can also occur acephalgically (without headache), also known as visual migraine or migraine aura. It is often confused with retinal migraine, which originates in the eyeball or socket.
Scintillating scotoma | |
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Other names | Visual migraine Teichopsia |
Example of a scintillating scotoma, as may be caused by cortical spreading depression | |
Specialty | Neurology, Neuro-ophthalmology |
Symptoms | Aura in vision, nausea, dizziness, brain fog |
Complications | Migraine onset |
Duration | Less than 60 minutes |
Causes | Cortical spreading depression |
Risk factors | Migraine sufferer |
Differential diagnosis | Persistent aura without infarction, Retinal migraine |
Prevention | Avoiding migraine triggers |
Prognosis | Self-limiting |
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