What is a Migraine “Aura”?

Migraines go beyond the realm of typical headaches. For numerous individuals, they come with a distinct and often perplexing occurrence known as an “aura.” Understanding what a migraine aura is and how it manifests can be crucial for those who experience these neurological symptoms. This blog post delves into the nature of migraine auras, their effects on individuals, and the variability of these experiences, providing insight into this complex aspect of migraines.

When we plan our meals, we can ensure that we have a well-balanced diet that includes all the necessary food groups. This is especially important for individuals who suffer from migraines. Certain foods can trigger migraines, and by planning our meals, we can avoid these triggers and manage our migraines more effectively. By incorporating foods that are rich in magnesium, such as leafy greens and nuts, we can even help prevent migraines from occurring in the first place.

Migraines with Aura and Migraines without Aura

  1. Migraine with Aura

   – This type of migraine is characterized by specific neurological symptoms known as an aura, which occur before the headache phase. About 25-30% of people with migraines experience this type.

   – Aura symptoms typically last between 20 and 60 minutes and can include visual disturbances (like seeing flashes of light, zigzag patterns, or blind spots), sensory changes (such as tingling in the hands or face), speech disturbances, and, in rare cases, motor weakness.

  1. Migraine without Aura

   – The more common type of migraine, affecting about 70-75% of migraine sufferers, is migraine without aura. In these cases, the individual does not experience the specific pre-headache symptoms of an aura.

   – People with this type of migraine directly experience the headache phase, which can include symptoms like pulsating pain on one side of the head, nausea, vomiting, and sensitivity to light and sound.

Are Auras a Universal Migraine Symptom?

Contrary to some misconceptions, migraines do not always start with an aura. In fact, the majority of migraine sufferers experience migraines without aura. Auras are a specific subset of migraine symptoms that only a portion of people with migraines experience.

Understanding the Migraine Aura

A migraine aura is a complex neurological event that precedes or accompanies a migraine headache. Not a universal experience among migraine sufferers, it presents a range of symptoms that can be both intriguing and unsettling. Delving into the specifics of these symptoms not only helps in understanding this condition better, but also aids in preparing for an impending migraine attack.

Common Symptoms of Migraine Aura

  1. Visual Disturbances

   – Types of Visual Symptoms: Visual disturbances during a migraine aura are diverse. Some individuals report seeing zigzag patterns, shimmering spots, or flashes of light, known as ‘scintillating scotoma’. Others might experience temporary vision loss or see areas of distorted or blurred vision.

   – Duration and Progression: These visual symptoms typically develop gradually over several minutes and can last between 20 and 30 minutes. They often start small and expand across the visual field.

   – Impact on Daily Activities: Visual auras can temporarily interfere with activities such as reading, driving, or working on a computer, necessitating a pause until the symptoms subside.

  1. Sensory Changes

   – Manifestation of Sensory Symptoms: Sensory disturbances in a migraine aura can manifest as pins-and-needles sensations or numbness, usually on one side of the body. They may start in one area, like a hand, and spread up the arm to the face, lips, and tongue.

   – Associated Discomfort: These sensory changes can be unsettling and sometimes uncomfortable, but they are typically not painful.

  1. Speech or Language Problems

   – Nature of Speech Difficulties: During a migraine aura, some people may struggle with speech and language. This can include difficulty in articulating words, slurring, or struggling to recall words or understand spoken language.

   – Implications: Such symptoms can be particularly alarming, often causing concern about more serious neurological conditions. However, in the context of a migraine aura, they are usually temporary and resolve as the migraine progresses.

  1. Motor Weakness

   – Hemiplegic Migraine: In rare instances, an aura can include motor weakness, leading to a temporary paralysis or a heavy feeling in one part of the body. This condition, known as a hemiplegic migraine, can be particularly severe and frightening.

   – Differentiation from Stroke: Because the symptoms can mimic those of a stroke, it’s crucial for individuals experiencing these for the first time to seek immediate medical attention to rule out other serious conditions.


Migraine auras are diverse in their manifestations, impacting individuals in various ways. Understanding these symptoms is critical for those who experience them, as it can aid in better preparing for and managing a migraine episode. For those who experience frequent or severe auras, consulting with a healthcare professional for a tailored treatment plan is advisable. It’s also important to educate oneself and stay informed about migraines and auras, as knowledge is a powerful tool in managing this complex condition. By recognizing the early signs of an aura, individuals can take proactive steps to mitigate the impact of the ensuing migraine, helping to maintain their quality of life.

How Auras Affect Migraines

The phenomenon of the migraine aura is a critical phase in the migraine experience, acting as both a precursor and an influential element in how migraines are perceived and managed. Typically occurring before the onset of the actual migraine headache, the aura phase varies significantly in duration and symptoms, which can deeply impact an individual’s approach to their migraine condition. Most auras last between 20 and 60 minutes. The experience of an aura can affect how one perceives and manages their migraine.

Duration and Characteristics of Aura Phase

– Duration Variability: While most auras last between 20 and 60 minutes, the duration can vary widely among individuals. In some rare cases, auras may last for several hours or, conversely, just a few minutes.

– Progression of Symptoms: Aura symptoms typically develop gradually and can change in intensity and form during the aura phase. This progression can sometimes provide insight into the impending severity of the migraine headache that follows.

The Aura Effect in Migraine Management Strategies

  1. Function as a Warning System

   – Pre-emptive Measures: For many, the onset of an aura is a clear signal that a migraine is imminent. This warning allows for pre-emptive measures, such as taking prescribed migraine medication, retreating to a quiet, darkened room, or applying relaxation techniques to potentially lessen the headache’s impact.

   – Adapting Daily Activities: The aura phase also provides an opportunity to modify or postpone activities, reducing the disruption caused by the migraine.

  1. Aura-Induced Anxiety and Fear

   – Psychological Effects: The experience of aura symptoms, particularly when they involve significant visual or sensory disturbances, can be unsettling and even frightening. This can lead to increased anxiety, which may exacerbate the migraine experience.

   – Coping Strategies: Developing coping strategies, such as deep breathing exercises, mindfulness, or even counseling, can be beneficial for those who experience anxiety as a result of their aura symptoms.

 

Additional Considerations in Aura and Migraine Relationship

– Individual Variability: The nature and impact of auras can vary greatly from person to person. Some may experience auras with every migraine, while others might have them infrequently or not at all.

– Potential for Misdiagnosis: Due to the neurological nature of aura symptoms, there’s a risk of misinterpreting them as indicative of other neurological disorders, such as stroke or epilepsy. It’s important for individuals experiencing auras for the first time to seek medical evaluation to ensure accurate diagnosis and appropriate treatment.

– Research and Understanding: Ongoing research into migraine auras is expanding our understanding of migraines. This research is vital in developing more effective treatment strategies and helping individuals manage their condition more effectively.

Treatment of Migraine Auras Without Medication

Treating migraine auras involves both managing the immediate aura symptoms and preventing future migraine episodes, including the aura phase. Since migraine auras vary greatly among individuals, treatment approaches are often personalized. Here are some of the common strategies used in the treatment of migraine auras:

  1. Lifestyle Modifications

   – Stress Management: Since stress is a common trigger for migraines and auras, incorporating stress-reduction techniques such as yoga, meditation, and deep breathing exercises can be beneficial.

   – Regular Sleep Patterns: Establishing and maintaining a consistent sleep schedule can help prevent migraines with aura.

   – Dietary Changes: Identifying and avoiding food triggers, maintaining regular meal times, and staying hydrated are crucial.

  1. Aura-Specific Strategies

   – Rest in a Quiet, Dark Room: During an aura, resting in a quiet, darkened room can help alleviate symptoms and prevent the progression to a full migraine.

   – Cool Compress: Applying a cool compress to the forehead or neck (Feng Fu Point) during an aura phase can provide relief for some individuals.

  1. Complementary Therapies

   – Acupuncture: Some people find acupuncture helpful in managing migraine symptoms, including auras.

   –  Biofeedback and Relaxation Techniques: These techniques can help in managing the physical responses to stress and might reduce the frequency of migraine auras.

  1. Magnesium Supplements

   – Supplementation: Magnesium deficiency has been linked to migraines with aura. Supplementing with magnesium, under the guidance of a healthcare provider, can be an effective preventive strategy.

  1. Monitoring and Avoiding Triggers

   – Identify Triggers: Keeping a migraine diary to identify specific triggers for auras and avoiding these triggers can be an effective strategy.

Migraine auras are a complex and highly individualized experience. Understanding your personal aura symptoms can be a significant step in managing your migraines effectively. It’s important to note these symptoms in a migraine diary and discuss them with your healthcare provider for tailored advice and treatment.

As research continues to shed light on migraines and auras, individuals who experience them gain more tools and knowledge for effective management. Remember, if you experience new or worsening aura symptoms, it’s important to seek medical advice, as they can sometimes indicate other neurological conditions. 

In sum, while migraine auras can be unsettling, gaining a deeper understanding of them empowers you to better navigate the challenges they present.

Disclaimer

Always seek the guidance of a medical doctor if you’re dealing with migraines. This article serves an educational purpose and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider.

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