Aura Migraines: Do You Need Lifelong Medication?

Q: Aura Migraines: Do You Need Lifelong Medication?

Hello： The aura symptoms you mentioned are a type of temporary focal neurological phenomenon that typically occur before or during a migraine attack. <br>They gradually develop over a period of time and usually last no longer than 60 minutes. <br>If there is no significant impact

Prodromal migraine

Hello Doctor: I would like to ask you about the aura flashes I started experiencing in 2018 before my migraines.
I underwent medication treatment for a period of time, and since my headaches have become more manageable this year, I have not continued taking medication.
I would like to know if I need to take medication for a lifetime to prevent the aura flashes.
Sometimes, the aura flashes end without a headache (currently, I experience aura flashes 1-2 times a month).
Additionally, will the aura flashes disappear as I get older, or could they lead to blindness? Thank you in advance for your response!

kaoru, 20~29 year old female. Ask Date: 2021/02/21

Dr. Jiang Junyi reply Neurology

Hello: The aura symptoms you mentioned are a type of temporary focal neurological phenomenon that typically occur before or during a migraine attack.
They gradually develop over a period of time and usually last no longer than 60 minutes.
If there is no significant impact on daily life, preventive medication may not be necessary.
Generally, women tend to experience a reduction in migraines after menopause.
However, those with migraine with aura often have more severe vascular abnormalities, and if the symptoms are unstable, it is still advisable to consider preventive maintenance medication.
I recommend that you consult a neurologist to discuss examination and treatment options.
Wishing you good health and peace.
Dr.
Jiang Junyi, Department of Neurology, Taoyuan Medical Center.

Reply Date: 2021/02/21

More Info

Aura migraines, characterized by visual disturbances such as flashing lights or zigzag patterns before the onset of a headache, can be a perplexing condition for many individuals. Understanding whether lifelong medication is necessary for managing these symptoms requires a nuanced approach, considering both the frequency and severity of the episodes, as well as individual health factors.

Firstly, it’s essential to recognize that aura migraines are a type of migraine with aura, which can occur with or without the subsequent headache. The aura itself is caused by a wave of electrical activity in the brain, leading to temporary changes in vision and other sensory perceptions. While some individuals experience these auras without ever developing a headache, others may find that the auras are consistently followed by a migraine.

Regarding the need for lifelong medication, it largely depends on the frequency and impact of the aura episodes. If you are experiencing aura symptoms 1-2 times a month without the accompanying headache, this may not warrant continuous preventive medication. Many healthcare providers recommend treatment based on the frequency and severity of migraines. For those with infrequent episodes, lifestyle modifications, such as stress management, regular sleep patterns, and dietary adjustments, may be sufficient.
However, if the auras become more frequent or if they start to interfere significantly with daily life, it may be beneficial to discuss preventive medication options with your healthcare provider. Common preventive treatments include beta-blockers, anticonvulsants, and certain antidepressants, which can help reduce the frequency and severity of migraine attacks, including those with aura.

As for the question of whether aura symptoms can disappear with age, there is some evidence to suggest that migraine frequency and severity can change over time. Some individuals may find that their migraines become less frequent or even resolve entirely as they age, while others may experience a continuation or even an increase in migraine activity. It is also important to note that while aura migraines are generally not associated with an increased risk of blindness, any sudden changes in vision should be evaluated by a healthcare professional to rule out other potential issues.

In summary, whether you need lifelong medication for aura migraines depends on your specific situation. If your auras are infrequent and not debilitating, you might not need continuous medication. However, it’s crucial to maintain open communication with your healthcare provider about your symptoms and any changes you experience. They can help you determine the best course of action, whether that involves lifestyle changes, preventive medications, or simply monitoring your condition over time. Always prioritize your health and seek professional advice tailored to your individual needs.

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