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         Retinal Migraine:     more detail

61. Description And Classification Of Migraine Headache - Part 1
There are also some rare forms of migraine, which have other symptoms. Basilarmigraine. Ophthalmoplegic migrain. retinal migraine. Next page .
http://www.migraine-headache.info/description-and-classification.html
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A migraine attack is debilitating: it consists of a throbbing, moderate-to-severe pain on one side of the head, and is often accompanied by other symptoms such as
' nausea and/or vomiting;
' aversion to light (photophobia);
' aversion to sound (phonophobia); ' a need to be still because movement worsens the pain.

62. Emergency Medicine
retinal migraine occurs primarily in women older than age 45 and isassociated with extensive scotomata and loss of vision. This
http://www.emedmag.com/html/pre/cov/covers/081503.asp
Understanding Migraine: Pathophysiology and Presentation By Jeff Unger, MD, Roger K. Cady, MD, and Kathleen Farmer-Cady, PsyD Dr. Unger is director of the Chino Medical Group Headache Intervention Center in Chino, California. He is also a member of the EMERGENCY MEDICINE editorial board and an associate editor on the editorial board of THE FEMALE PATIENT, another Quadrant HealthCom, Inc., publication. Dr. Cady is the director and Dr. Farmer-Cady the administrator of the Headache Care Center at Primary Care Network, Inc., in Springfield, Missouri. They are also co-founders of the Primary Care Network.
Even though some 28 million Americans suffer from migraine headaches, most migraineurs have not actually had their condition diagnosed by a physician, and they self-medicate with over-the-counter analgesics. In 1989, the American Migraine Study I reported that of those individuals interviewed by telephone who had headache symptoms meeting the accepted diagnostic criteria for migraine, only 39% had been diagnosed by a physician. The American Migraine Study II published in 1999 found that half of all migraineurs interviewed continued to be undiagnosed. Today, 39% of migraineurs do not seek medical attention for their disabling headaches, and 21% of diagnosed headache patients discontinue medical care because of frustrations over inadequate treatment.

63. Eye Migraines – The Symptoms Of Eye Or Silent Migraine And What To Do About It.
can do permanent damage. Eye migraines – Occular migraines Ocularor retinal migraines are quite rare. You get partial (retinal
http://www.relieve-migraine-headache.com/eye-migraines.html
What are eye migraines?
What are commonly called eye migraines are actually a group of different types of migraine, including ocular migraines (or occular), ophthalmic migraines, a type of silent or acephalgic migraine, and even ophthalmoplegic migraines. Confused? Don't worry, you'll see it all clearly in a moment (oops, sorry!)... First, you need to remember that pain is only one possible symptom of migraine see the article on symptoms ). Other symptoms include nausea, congestion, and visual symptoms. Silent migraine or acephalgic migraine is migraine without the headache.
Eye migraines – silent migraine:
If this is you, you may be getting strange visual disturbances, usually lasting less than an hour, but no headache. This is quite possibly a type of migraine, and needs to be treated in basically the same way as any other type of migraine. However, you do need to make sure you see a good doctor so that she can rule out other problems that can do permanent damage.
Eye migraines – Occular migraines:
Ocular or retinal migraines are quite rare. You get partial (retinal) or complete (ocular) blindness, usually in just one eye. This disturbance lasts less than an hour. The headache (often a dull ache behind the affected eye) usually happens afterwards, but can happen before or even during (our bodies are so unpredictable!). This type of migraine varies with which artery is being hit.

64. MENIERES AND MIGRAINES
blocker and calciumchannel blockers may prevent vasospasm of arteries to the innerear just as they prevent vasospasm of retinal arteries in retinal migraine.
http://www.menieres.org/jacki/jackis68.htm
MENIERES AND MIGRAINES Neurotology of Migraine Robert W. Baloh, MD Migraine is a disease characterized by periodic headaches, but patients often experience other symptoms including dizziness and hearing loss and, in some, these can be the only symptoms. Since most patients equate migraine with headache, it can be difficult to convince them that symptoms other than headache are due to migraine. Comments such as "But, doctor, I don't have a 'migraine' with my dizziness" or "I came to see you because of my dizziness. I haven't had a migraine for at least a year" are common in our Neurotology Clinic. Until we understand the pathophysiology of migraine, it will remain difficult to educate patients and their physicians on the relationship between migraine and neurotologic symptoms. Furthermore, there is debate as to whether migraine with aura (MA) and migraine without aura (MO) are distinct syndromes, different manifestations of the same disorder, or part of a continuum. Patients can have both types of attacks (with and without aura), and not infrequently, both types of migraine run in the same family (see below). The headache phases of both types of migraine are almost identical, and the same treatments are usually effective for both types of migraine. Conversely, certain epidemiological characteristics, overall familial aggregation, and varying pathophysiologic findings suggest that these two types of migraine may be separate entities. NEUROTOLOGIC SYMPTOMS AND MIGRAINE

65. Ingenta: Table Of Contents -- Cephalalgia, January 2004, Volume 24, Issue 1
retinal migraine as unusual feature of cerebral autosomal dominant arteriopathy withsubcortical infarcts and leukoencephalopathy (CADASIL) Ravaglia S.; Costa A
http://www.ingenta.com/isis/browsing/TOC/ingenta?issue=pubinfobike://bsc/cha/200

66. Retinal
4. retinal specialist. 10, photography retinal. 4. retinal migraine. 9, retinalpigment epithelium. 4. retinal degeneration. 9, acquired degeneration retinal sudden.4.
http://www.websters-online-dictionary.org/definition/english/Re/Retinal.html
Philip M. Parker, INSEAD.
Retinal
Definitions: Retinal
Retinal
Adjective
. In or relating to the retina of the eye; "retinal cells".
Noun
. Either of two yellow to red retinal pigments formed from Rhodopsin by the action of light. Source: WordNet 1.7.1
Date "retinal" was first used in popular English literature: sometime before 1900. ( references
Specialty Definitions: Retinal
Domain Definitions
Health
1. pertaining to the retina. 2. the aldehyde of retinol, derived by the oxidative enzymatic splitting of absorbed dietary carotene, and having vitamin A activity. In the retina, retinal combines with opsins to form visual pigments. One isomer, 11-cis retinal combines with opsin in the rods (scotopsin) to form rhodopsin, or visual purple. Another, all-trans retinal (trans-r.); visual yellow; xanthopsin) results from the bleaching of rhodopsin by light, in which the 11-cis form is converted to the all-trans form. Retinal also combines with opsins in the cones (photopsins) to form the three pigments responsible for colour vision. Called also retinal , and retinene1. (

67. Scope Of Work
Basilar migraine Ophthalmoplegic and retinal migraine Migraine following headinjury Migraine in young children Hemiplegic migraine Stroke and transient
http://www.cochraneneuronet.org/livello2/scope_of_work2.html
Index of Diseases
BACK to scope of work
ACQUIRED METABOLIC DISORDERS MIGRAINE AND HEADACHE ALCOHOL AND ALCOHOLISM ... OTHERS ACQUIRED METABOLIC DISORDERS back to index Ischemic-Hypoxic encephalopathy
Carbon Monoxide Poisoning
High-Altitude sickness
Hypercapnic pulmonary disease
Hypoglycemic encephalopathy
Hyperglycemia
Hepatic stupor and coma (hepatic or portal-systemic encephalopathy)
Uremic encephalopathy
Encephalopathy associated with sepsis and burns
Disorders of sodium, potassium and water balance Central pontine myelinolysis Chronic acquired (Non-Wilsonian) hepatocerebral degeneration Kernicterus Hypoparathyroidism Cerebellar ataxia associated with myxedema Effects of Hyperthermia on the Cerebellum Cerebellar syndromes associated with celiac-sprue and Jejunoileal bypass Cushing disease and corticosteroid psychoses Thyroid encephalopathies Pancreatic encephalopathy

68. Neurological Disorders, Headaches, Migraine. Retinal
treatments and complications. iMigraine A discussion about retinalmigraine along with graphics. Internet Ophthalmology Patient
http://www.iseekhealth.com/retinal-2044.php
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69. Retinal_detach.htm
should not be confused with the visual aura of a migraine which last the peripheralinto the central vision which actually represents the retinal detachment in
http://www.wa-eyemd.org/retinal_detach.htm
Retinal Detachment Normal Retina Inferior Retinal Detachment Retinal detachment is an important cause of visual loss. Anyone can develop a retinal detachment - but the chance without associated risk factors is relatively low. The risk of a retinal detachment in the general population is approximately 1 in 10, 000 persons per year. Risk factors include : previous intraocular surgery including cataract surgery , a history of retinal detachment in the fellow eye , a high degree of pre-existing nearsightedness , a familial history of retinal detachments , prematurity at birth, and pre-existing retinal pathology including known retinal breaks and lattice degeneration and retinoschisis . Several kinds of retinal detachment can occur including : a rhegmatogenous retinal detachment, an exudative retinal detachment , and a tractional retinal detachment . An exudative retinal detachment can occur in the presence of an intraocular tumor such as an ocular melanoma or in certain relatively uncommon inflammatory eye conditions including posterior scleritis and Vogt-Koyanagi-Harada syndrome. A tractional retinal detachment can occur as a result of proliferative diabetic retinopathy ( see diabetic retinopathy ) , retinopathy of prematurity seen in low birth weight and premature infants , and previous significant eye trauma .

70. EMedicine Health - Migraine Headache In Children Synonyms And Keywords
migraine with aura, migraine without aura, paroxysmal torticollis of infancy,status migrainosus, ophthalmic (retinal) migraine, ophthalmoplegic migraine
http://emedicinehealth.com/articles/37055-9.asp
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You are in: Headache Migraine Headache in Children Synonyms and Keywords abdominal migraine, acephalic migraine of childhood, acute confusional migraine, basilar migraine, benign paroxysmal vertigo of childhood, Bickerstaff syndrome, classic migraine, common migraine, complex migraine, complicated migraine, cyclic vomiting syndrome, familial hemiplegic migraine, migraine equivalent, migraine sine hemicrania, migraine with aura, migraine without aura, paroxysmal torticollis of infancy, status migrainosus, ophthalmic (retinal) migraine, ophthalmoplegic migraine, variant migraine Migraine Headache in Children For More Information Migraine Headache in Children Authors and Editors Sections Overview Causes Symptoms When to Seek Medical Care ... For More Information Synonyms and Keywords Authors and Editors
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71. The Magical Mystery Of Migraines
Other conditions that produce ocularmigraine like symptoms include retinal arterythrombosis (blood clot in a vein inside the eye) and, as noted, migraine
http://www.clevelandclinic.org/health/health-info/docs/3200/3266.asp?index=11253

72. Simulations Of Eye Disorders - Richmond Eye Associates
Sources could include diabetic retinopathy, retinal tears, vitreous detachment,and sickle cell retinopathy, among others. Eye Disorders Ophthalmic migraine,
http://www.richmondeye.com/simulation.htm
Simulations
of
Eye Disorders
Office Information
Home Page About Richmond Eye Specialties Locations ... Career Opportunities

Website Features
Eye Information, Disorders
and Links Eye News
Eye on Health ... Site Search
Physicians of
Richmond Eye Associates
Examples of Eye Disorders
Read this important information before proceeding further:
These sections are not intended to replace the professional examination and diagnosis of a physician, and they are presented here purely for informational purposes. All possible diagnoses and treatment options are not covered, and the information discussed should not be taken as a recommendation to self-diagnose and self-treat a condition. A misdiagnosed or improperly treated eye condition can result in a permanent loss of vision, or a permanent loss of function of the eye or visual system. In the case of any eye problem, seek medical attention promptly. This can include emergency room treatment, as well as treatment by a medical physician or eyecare provider.
This page shows simulations of visual symptoms caused by a variety of eye disorders, from refractive error to localized eye problems to neurological problems. Disorders covered include:

73. Occular Migraine? Retinal Detachment?
He seems to think that my vision problems may be due to occular migraines(I have no corresponding headaches) and not the retinal detachment.
http://www.medhelp.org/forums/eyecare/archive/301.html
Questions in The Eye Care Forum have been answered by doctors from
Henry Ford Health System, consistently ranked one of the best hospitals in America. Subject: Occular Migraine? Retinal Detachment?
Topic Area: Misc (Eye Problems)
Forum: The Eye Care Forum
Question Posted By: Kelly on Sunday, March 07, 1999
Hi, About two months ago I began to see bright lights coming into my field of vision. I can not see through these lights,
they last two/three seconds, and then either leave my field of vision or die out. (They are not floaters- they are larger, brighter and move
differently.) This only happens in my left eye. I see them off and on throughout the day- every day. I should note hear I have seen floaters for years
and I am very near-sighted. (Contacts- 6.75 in left eye.) About a month ago I also began
to see a pulsating black shadow that will come and go on the top of my field of vision. This pulsating shadow
is getting worse and worse- ie. staying longer and seems to be getting bigger. I does come and go though. Also all of the black pulsating shadow is in the top half of my field of vision. The lights seem to mostly originate

74. Class: 06 DISEASES OF THE NERVOUS SYSTEM AND SENSE ORGANS (320-389)
migraine 346.8 migraine Other forms of migraine 346.9 migraine- migraine, unspecified347 the globe- Other disorders of globe 361.0 retinal detachments and
http://www.eicd.com/EClass/6.htm
Class: 06 DISEASES OF THE NERVOUS SYSTEM AND SENSE ORGANS (320-389)
Below is a list of Categories associated with this Class. To see final diagnoses:
  • Click the check boxes next to each Category you wish to see Click the SUBMIT button. Once the final diagnosis codes are displayed use your browser to Print or Save these selections.
  • Please note the numbers next to the Categories below are not final diagnosis codes
    Bacterial meningitis
    Bacterial meningitis- Meningitis due to other specified bacteria
    Meningitis due to other organisms
    Meningitis of unspecified cause
    Encephalitis, myelitis, and encephalomyelitis
    Intracranial and intraspinal abscess
    Phlebitis and thrombophlebitis of intracranial venous sinuses
    Late effects of intracranial abscess or pyogenic infection
    Cerebral degenerations usually manifest in childhood
    Other cerebral degenerations Frontotemporal dementia Other cerebral degenerations- Other cerebral degeneration Other extrapyramidal disease and abnormal movement disorders Other extrapyramidal disease and abnormal movement disorders- Fragments of torsion dystonia Other extrapyramidal disease and abnormal movement disorders- Other and unspecified extrapyramidal diseases and abnormal movement disorders Spinocerebellar disease Anterior horn cell disease Anterior horn cell disease- Spinal muscular atrophy Anterior horn cell disease- Motor neuron disease Other diseases of spinal cord Disorders of the autonomic nervous system Disorders of the autonomic nervous system- Reflex sympathetic dystrophy

    75. Ocular (visual) Migraine: Symptoms (such As Headache), Cause & Treatment Alterna
    Acupuncture and other holistic modalities may significantly reduce the symptoms ofmigraines. used as a flavor enhancer which is a potential retinal toxin (Inv
    http://www.visionworksusa.com/disease.asp?d_num=33

    76. WOODTV.com & WOOD TV8 - Grand Rapids News And Weather - Floaters And Flashes
    Questions. What is causing the floaters and flashes? Is there any retinal damage?Is it related to migraine? Is any treatment necessary at this time?
    http://www.woodtv.com/global/story.asp?s=1230659

    77. Migraine
    retinal symptoms of retinal vascular involvement during headache; Childhood periodicsyndromes - (migraine equivalents) recurrent often cyclic episodes of
    http://www.5mcc.com/Assets/SUMMARY/TP0588.html
    Migraine
    DESCRIPTION: Paroxysmal headache lasting 4-72 hours. Episodes vary in frequency from more than once a week to less than one per year with symptoms abating completely between attacks. Premonitory symptoms consisting of non-specific symptoms occur frequently hours to days before headache. Most frequent sub-types are:
    • Without aura - (common migraine) defining over 80% of attacks
    • With aura - (classic migraine) characterized by focal disruption of neurological function begins and ends prior to headache onset
    • Variants of migraine include:
      • Transformed migraine - chronic headache pattern evolving from episodic migraine. Migraine-like attacks are superimposed on a daily or near-daily headache pattern, e.g., tension headache.
      • Basilar migraine - occipital headache, with aura symptoms of dysarthria, vertigo, tinnitus, ataxia, and bilateral paresis or bilateral paresthesias
      • Hemiplegic migraine - aura consisting of hemiplegia and/or hemiparesis
      • Ophthalmoplegic - palsy of the ipsilateral third cranial nerve during the headache phase
      • Retinal - symptoms of retinal vascular involvement during headache
      • Childhood periodic syndromes - (migraine equivalents) recurrent often cyclic episodes of symptoms
      • Status migrainous - persistent migraine which does not resolve spontaneously
      • Migrainous stroke - persistent or permanent neurologic deficits persisting beyond migraine attack usually with neuro-imaging changes
      • Chronic migraine - migraine-like headaches greater than 15 days a month for greater than 6 months

    78. Centro Medico Teknon : Library
    Translate this page What is causing the floaters and flashes? Is there any retinal damage?Is it related to migraine? Is any treatment necessary at this time?
    http://www.teknon.es/Library/Library.asp?426

    79. Systemic Diseases Lecture - Outline
    CARDIOLOGY. Hypertension see the retina lecture; retinal Emboli - see the retinalecture; Hyperlipoproteinemia; Marfan Syndrome; Endocarditis. NEUROLOGY. migraine
    http://eyelearn.med.utoronto.ca/Systemic/SysMigraine.htm
    Home Lectures
    INTRODUCTION
    SYSTEMIC OPHTHALMOLOGY
    ENDOCRINOLOGY
    CARDIOLOGY
    NEUROLOGY
    • Migraine Migraine is the most common cause of transient visual loss in the young, but also occurs in the elderly. Migraine although common, is a diagnosis of exclusion. Migraine is discussed in the systemic ophthalmology lecture to differentiate its presentation from amaurosis fugax. **Migraines are NOT all associated with headache, although many are.** Patients with migrainous visual loss usually have a history of headaches since childhood, or a strong family history. There may be trigger factors that are dietary (e.g. caffeine or tyramine), stress-related or hormonal. Car sickness with reading, and ice cream headaches are common migraine "equivalents". The vasospasm of migraine may affect the cerebral or ocular circulation. Patients may mistake

    80. Evaluation And Management Of Suspected Retinal Detachment - April 1, 2004 - Amer
    Diagnoses of retinal Detachment. Symptom, Cause of symptom, Differential diagnosis.Photopsia, Vitreoretinal traction, PVD, optic neuritis, migraine, hypotension
    http://www.aafp.org/afp/20040401/1691.html

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    Evaluation and Management of Suspected Retinal Detachment RAY F. GARIANO, M.D., PH.D., Stanford University School of Medicine, Stanford, California CHANG-HEE KIM, M.D., Naval Medical Center, San Diego, California A PDF version of this document is available. Download PDF now (8 pages /170 KB). More information on using PDF files.
    See page 1591 for definitions of strength-of-recommendation labels.
    R etinal detachment is relatively uncommon, affecting only one in 10,000 people per year, or approximately one in 300 patients in the course of a lifetime. Retinal detachment often is repaired with little or no vision loss; therefore, it is a much less significant cause of irreversible blindness than other retinal diseases, such as diabetic retinopathy and macular degeneration. Retinal detachment should be considered in the differential diagnosis of vision loss, however, because it is more prevalent in defined subpopulations and may require urgent surgical repair. Pathogenesis of Retinal Detachment The retina is a neurosensory tissue that lines the interior posterior two thirds of the eye (Figure 1, left)

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