Migraine with prolonged atypical aura: Report of two cases

Abstract

If migraine does not manifest itself in the form of headache but in some other atypical symptoms with a headache, it is labeled a Migraine Variant. Many migraine variants have been redefined and included in the 2004 International Classification of Headache Disorders classification. These include hemiplegic migraine, basilar-type migraine, childhood periodic syndromes, retinal migraine, complicated migraine, ophthalmoplegic migraine and vertiginous migraine. In this study, we report two patients in different age groups who display basilar-type migraine with symptoms of prolonged atypical aura. Migraine Variants are important to recognize in clinical practice. Most variants respond well to treatment with antimigraine prophylaxis. If diagnosed correctly, treatment response is always satisfying.