Understanding Migraine with Aura: Symptoms, Types, and Effective Treatment (2023)


Migraine with aura is a distinctive neurological disorder that affects approximately one-third of individuals experiencing migraines. This article delves into the nuances of migraines with aura, exploring their symptoms, types, diagnosis, and treatment options.

What Is a Migraine with Aura?

Migraines, a prevalent neurological disorder impacting 10% of the global population, remain a leading cause of disability. Migraine with aura, however, differs from the typical migraine, characterized by visual or sensory disturbances preceding the headache. These auras result from changes in brain activity and may occur concurrently with or before the onset of the migraine headache.

Types of Migraine Auras

  1. Migraine with Aura
  2. Migraine with Brain Stem Aura
  3. Hemiplegic Migraine (Migraine with Weakness on One Side of the Body)

Each type of migraine with aura presents unique symptoms, contributing to the complexity of this neurological condition.

Signs and Symptoms of Migraine Auras

Migraines with aura manifest across various senses and bodily functions. The key symptoms include:

  • Visual Symptoms: Reported in up to 99% of cases, visual disturbances range from black dots to flashes of light and zigzag lines.
  • Sensory Symptoms: Numbness or tingling, especially in the face, hands, and fingers.
  • Speech and Language Symptoms: Slurred speech, difficulty forming words, and mumbling.
  • Motor Weakness: Occasional muscle weakness or temporary paralysis, known as hemiplegic migraine.

These symptoms, coupled with general migraine indicators like throbbing head pain, nausea, vomiting, dizziness, and sensitivity to light and sound, contribute to the complexity of migraine with aura experiences.

Aura Timeline

Auras typically precede a migraine, lasting between five to 60 minutes. However, variations exist, with some auras extending beyond this timeframe.

Diagnosis and Treatment


Physicians and neurologists specializing in brain and spinal cord disorders conduct detailed medical history assessments and physical exams. Diagnostic tools such as MRI and CT scans may be employed, emphasizing the importance of understanding family migraine histories.


Treatment strategies include:

  • Over-the-Counter (OTC) Medications: Analgesics like NSAIDs or pain relievers with caffeine can address mild symptoms.
  • Prescription Medications: Acute medications like triptans or ergot alkaloids help block pain receptors for severe migraines.
  • Preventive Medications: For individuals experiencing more than four migraines monthly, ongoing medications like anticonvulsants, antidepressants, or antihypertensives may be recommended.

When to Seek Professional Treatment

Given the potential overlap of migraine with aura symptoms with more severe neurological conditions, immediate medical attention is warranted for symptoms such as weakness on one side of the body, slurred speech, vision problems, or symptoms lasting over 60 minutes.

Migraine with Aura in Women

Women experiencing migraines with aura face an increased risk of cardiovascular disease. Regular cardiovascular examinations are advised for those with both migraine with aura and cardiovascular symptoms.

Ways to Prevent Migraine with Auras

Tracking Triggers

While predicting migraines remains challenging, identifying triggers such as specific foods, weather changes, alcohol, and hormonal fluctuations can aid in prevention.

Lifestyle Changes

Several lifestyle factors contribute to migraines with aura:

  • Diet: Certain foods, alcohol, and caffeine can trigger migraines.
  • Environment: Weather changes, bright lights, loud noises, and strong odors may induce migraines.
  • Hormonal: Women may experience migraines during various hormonal changes.

Stress and insufficient sleep also play pivotal roles, emphasizing the multifactorial nature of migraine triggers.

A Word From Verywell

Migraines with aura can significantly impact one's quality of life. Seeking treatment and preventive measures is crucial for managing the unpredictable nature of migraine attacks. Consult with a healthcare provider to explore personalized approaches to alleviate the effects of migraines and migraines with aura.

Frequently Asked Questions

  1. How long do migraine auras last?

    • Auras typically last between five to 60 minutes, with some instances lasting longer.
  2. How severe can migraine auras be?

    • The severity varies, with potential for temporary paralysis in cases of hemiplegic migraines.
  3. What can trigger migraine auras?

    • Triggers include stress, lack of sleep, specific foods, bright lights, weather changes, and hormonal fluctuations. Family history may also influence susceptibility.


This comprehensive guide provides insights into the intricacies of migraines with aura, offering a valuable resource for individuals seeking a deeper understanding of this neurological condition. Managing and preventing migraines with aura involves a personalized, multifaceted approach, underlining the importance of tailored medical advice and treatment plans.


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