The visual aura rating scale as an outcome predictor for persistent visual aura without infarction

Cephalalgia : an International Journal of Headache
Y-F WangS J Wang

Abstract

Persistent visual aura without infarction is rare. Its pathogenic mechanism is unknown, and the response to migraine prophylactic agents varies. A systematic analysis of 29 patients (23 from the literature and six in the present report; 6M/23F, mean age 37.6 years) was carried out in terms of demographics, headache and visual symptom profiles, treatment regimens and outcomes. Patterns of visual disturbances (VDs) were re-assessed with the Visual Aura Rating Scale (VARS, score 0-10). Even though the majority of patients had headache improvement, only eight (27.6%) had complete resolution of persistent VD, without definite relevance to any specific agent. Patients with complete resolution of VD tended to have scotoma (50.0% vs. 0%; P = 0.003), unilateral/homonymous involvement (62.5% vs. 9.5%; P = 0.008), higher VARS scores (1.88 +/- 1.73 vs. 0.10 +/- 0.30; P < 0.001) and shorter duration of illness (10.0 +/- 12.9 vs. 60.2 +/- 90.9 months, P = 0.008) compared with those without. These findings remained even when the six current patients were not included for analyses. In conclusion, the prognosis of persistent VD was poor, and higher VARS scores, i.e. more typical of migraine visual aura, predicted a better outcome. For those wit...Continue Reading

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Citations

Dec 20, 2012·Current Pain and Headache Reports·Wei-Ta ChenShuu-Jiun Wang
Jul 7, 2011·Brain : a Journal of Neurology·Wei-Ta ChenShuu-Jiun Wang
Aug 13, 2014·Survey of Ophthalmology·David Gersztenkorn, Andrew G Lee
Mar 20, 2014·Brain : a Journal of Neurology·Christoph J SchankinPeter J Goadsby
Mar 13, 2014·Journal of Neurology, Neurosurgery, and Psychiatry·Anne-Caroline Bessero, Gordon T Plant
Mar 30, 2017·Current Treatment Options in Neurology·Alaa Bou Ghannam, Victoria S Pelak
Jun 12, 2016·Cephalalgia : an International Journal of Headache·María L CuadradoJosé A Arias
Nov 16, 2017·Current Opinion in Neurology·Francesca PuleddaPeter J Goadsby
Aug 11, 2018·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·Owen B WhiteJoanne Fielding
Feb 10, 2019·Headache·Daniel P Hayne, Paul R Martin
Mar 13, 2012·Headache·Randolph W Evans, Sheena K Aurora
May 13, 2014·Headache·Christoph J SchankinPeter J Goadsby
Nov 13, 2019·Current Opinion in Neurology·Ghislaine L TraberLars Michels
Jun 20, 2019·Neurology·Robin M van DongenGisela M Terwindt
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Aug 27, 2019·F1000Research·Robin M van Dongen, Joost Haan
May 30, 2015·Current Pain and Headache Reports·Christoph J Schankin, Peter J Goadsby
Jul 12, 2016·Headache·Brian M Plato
Oct 8, 2016·Headache·Christoph J SchankinPeter J Goadsby
Aug 31, 2021·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Meng-Chun ChiangChia-Chun Chiang

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