Migraine Aura Without Headache | Diagnosis, Treatment and Prevention

Migraine Aura Without Headache

Although a term migraine is often associated with a headache, yet there is a type of migraine that does not involve head pain, an example of this is the migraine aura without a headache which is also called silent migraine, or the ‘Typical aura without a headache’.  Although there is no head pain, yet they are still characterized as migraine and their diagnosis involves examination of other symptoms synonymous with migraine.  The palpable changes in the visual and sensory cells which normally accompany other types of migraine are also observed. The onset of the symptoms usually referred to as the ‘march’ of the symptoms manifest for 5-20 minutes and disappear after 60 minutes, the only condition which distinguished it from other types of migraine is the absence of a headache during the aura symptoms.

Migraine aura without head pain is most prevalent among the aged migraine patient, as in most cases, the migraine attacks often change pattern and characteristics, thus at times, it may come with little or no headache till a headache finally loses it strength and disappear without traces, while the other aura symptoms may persist. The most obvious symptoms that are usually seen are in visual impairment. In contradiction to the distribution pattern as in other types of migraine, migraine aura without head pains is most predominant among men than women


Neurologist believes keeping records of a headache and aura is crucial in the diagnosis of this type of migraines. The record keeping should include triggers like changes in stress level, inadequate feeding, and lack of sleep or adequate rest. The symptoms should also be recorded, stating the times they commenced and ended this will provide the medical practitioners with hints of the problem. Aside from keeping of records, it is also very important for the doctors to subject such patients to MRI scan or CT test, to ensure the true diagnosis of the illness symptoms


Visual symptoms of migraine aura without a headache include

  • Depletion of the visual senses, resulting in zigzag lights or flashes in the vision
  • Depletion of sensory cells which may often include the numbness of the face and fingers
  • Damage to the vocal cavity affecting speech
  • Vertigo (feeling of movement/spinning of self or environment)
  • Ringing in the ears
  • Impaired hearing
  • Double/blur vision)
  • Unsteady movements
  • Numbness of the face, tongue, and fingers
  • A total weakness of one side of the body
Impaired hearing

Migraine Aura without Headache Treatment and Prevention

There are various medications and treatment which can be utilized for treating other kinds of migraines; avoiding allergies which may trigger migraine are also advisable.  If the symptoms persist, it is advisable to keep in touch with the medical practitioner for an update. Good diets with enough rest are also good measures that should be put into practice.  Maintaining body fitness with regular exercise while minimizing the stress level are also helpful.