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A Rare Case of Both Migraine Without Aura and Typical Aura Without Headache in the Absence of Typical Aura With Headache

Akiyama O, Kondo A, Akiyama I

Clinical case reports, 2026

Abstract

We report a rare case of a 61-year-old woman with two distinct migraine patterns-migraine without aura and typical aura without headache-coexisting independently for 3 years without overlapping typical aura with headache. Neurological evaluations were unremarkable. Sodium valproate significantly reduced the frequency of both types. This case underscores the importance of accurate classification and individualized management strategies, especially in atypical migraine phenotypes such as aura without headache.

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