What is the difference between a migraine with aura and a migraine without aura?

June 22, 2024

The Migraine And Headache Program By Christian Goodman This program has been designed to relieve the pain in your head due to any reason including migraines efficiently and effectively. The problem of migraine and headaches is really horrible as it compels you to sit in a quiet and dark room to get quick relief. In this program more options to relieve this pain have been discussed to help people like you.


What is the difference between a migraine with aura and a migraine without aura?

Difference Between Migraine With Aura and Migraine Without Aura

Migraines are a common neurological condition, and they can be broadly categorized into two main types: migraines with aura (classic migraines) and migraines without aura (common migraines). Both types share some similarities but also have distinct differences that can affect diagnosis and treatment. Here is a detailed comparison of the two:

1. Migraine Without Aura (Common Migraine)

Characteristics:

  • Headache Pain:
    • Typically unilateral (one side of the head), but can be bilateral.
    • Throbbing or pulsating in nature.
    • Moderate to severe intensity.
  • Duration:
    • Lasts from 4 to 72 hours if untreated.
  • Associated Symptoms:
    • Nausea and/or vomiting.
    • Sensitivity to light (photophobia) and sound (phonophobia).
    • Sometimes sensitivity to smells (osmophobia).
  • Onset:
    • The headache phase begins without warning, as there is no preceding aura.
  • Frequency:
    • More common than migraines with aura, accounting for about 70-90% of all migraine cases.

Phases:

  • Prodrome:
    • Can occur hours or days before the headache and includes symptoms such as mood changes, food cravings, neck stiffness, frequent yawning, and increased thirst.
  • Headache:
    • The main phase characterized by severe headache pain and associated symptoms.
  • Postdrome:
    • The recovery phase where individuals may feel drained, fatigued, or mildly euphoric.

2. Migraine With Aura (Classic Migraine)

Characteristics:

  • Aura:
    • Aura consists of neurological symptoms that typically precede the headache phase.
    • Visual disturbances are the most common, including flashing lights, zigzag patterns, blind spots (scotomas), and seeing shimmering lights (scintillations).
    • Sensory disturbances may include tingling or numbness, usually starting in the hand and moving up the arm to the face.
    • Speech or language difficulties (aphasia) may also occur.
  • Duration of Aura:
    • Usually lasts 20 to 60 minutes and precedes the headache phase.
  • Headache Pain:
    • Similar to migraine without aura, with throbbing or pulsating pain on one side of the head, moderate to severe intensity.
  • Duration:
    • The headache phase can last from 4 to 72 hours if untreated.
  • Associated Symptoms:
    • Nausea and/or vomiting.
    • Sensitivity to light and sound.
    • Sometimes sensitivity to smells.

Phases:

  • Prodrome:
    • Similar to migraines without aura, including mood changes, food cravings, neck stiffness, and other pre-headache symptoms.
  • Aura:
    • Neurological symptoms that occur before the headache phase. Some people experience the aura without the headache, known as silent migraines.
  • Headache:
    • The main phase characterized by severe headache pain and associated symptoms.
  • Postdrome:
    • The recovery phase where individuals may feel drained, fatigued, or mildly euphoric.

Frequency:

  • Less common than migraines without aura, accounting for about 10-30% of migraine cases.

Key Differences

Presence of Aura:

  • Migraine With Aura:
    • Includes a distinct aura phase with neurological symptoms such as visual disturbances, sensory changes, and speech difficulties.
  • Migraine Without Aura:
    • Does not include an aura phase; the headache phase starts without warning.

Prevalence:

  • Migraine With Aura:
    • Less common, affecting about 10-30% of migraine sufferers.
  • Migraine Without Aura:
    • More common, affecting about 70-90% of migraine sufferers.

Phases:

  • Migraine With Aura:
    • Has an additional aura phase before the headache phase.
  • Migraine Without Aura:
    • Does not have an aura phase; includes prodrome, headache, and postdrome phases.

Onset of Headache:

  • Migraine With Aura:
    • The headache follows the aura phase, providing some warning before the headache begins.
  • Migraine Without Aura:
    • The headache begins without prior warning.

Impact of Aura:

  • Migraine With Aura:
    • The aura symptoms can be distressing and may interfere with daily activities even before the headache starts.
  • Migraine Without Aura:
    • The headache phase itself is the primary concern, without the additional neurological symptoms of an aura.

Conclusion

Migraines with aura and migraines without aura are two distinct types of migraines with different characteristics. Migraines with aura involve a preceding phase of neurological symptoms, while migraines without aura do not. Understanding these differences is crucial for accurate diagnosis and effective treatment. If you experience symptoms of either type of migraine, it is important to consult with a healthcare professional for proper diagnosis and management.


The Migraine And Headache Program By Christian Goodman This program has been designed to relieve the pain in your head due to any reason including migraines efficiently and effectively. The problem of migraine and headaches is really horrible as it compels you to sit in a quiet and dark room to get quick relief. In this program more options to relieve this pain have been discussed to help people like you.