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A clinical case report of migraine aura without headache

N. Garabova, M. Burzhunova, A. A. Zakaryalova, E. E. Dunaevskaya, E. A. Kirillova, E. Semina, A. Strutsenko

Vestnik nevrologii, psihiatrii i nejrohirurgii (Bulletin of Neurology, Psychiatry and Neurosurgery), 2024

Abstract

This article examines a clinical case of migraine aura without headache in a 31‑year-old woman who reported experiencing a visual aura resembling «brain fog». A differential diagnosis was conducted to rule out secondary disorders that may have been the cause of her symptoms. Due to the frequency of visual disturbances (up to 12 per month) and the negative impact on the patient's quality of life, she was prescribed sumatriptan 100 mg for acute visual aura attacks.

Additionally, cinnarizine 25 mg for a month was recommended for prevention. Following the initiation of treatment, there was a positive response with a reduction in symptoms.

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Evidence Hub reads this as a case report, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.

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