Aura visual típica sin cefalea: a propósito de un caso

Abel Alejandro Sanabria Sanchinel; Waleska Madrid Rubí

doi:10.31053/1853.0605.v76.n4.25068

Authors

Abel Alejandro Sanabria Sanchinel Universidad de San Carlos de Guatemala, Guatemala. Hospital Clínico Universitario "Lozano Blesa", Zaragoza, España. Hospital del Mar, Parc de Salut Mar, Barcelona, España.
Waleska Madrid Rubí Sección de Medicina Interna. Sanatorio Hospital Hermano Pedro, 17 av. 23-49 Zona 11, Carril Auxiliar Anillo Periférico, Ciudad de Guatemala, Guatemala CP 01011

DOI:

https://doi.org/10.31053/1853.0605.v76.n4.25068

Keywords:

migraine without aura, lamotrigine, migraine with aura

Abstract

Introduction: The typical aura without headache is a type of migraine with aura regularly assessed by ophthalmology. It is defined as at least two recurrent attacks, lasting from 5 to 60 minutes, of reversible, visual, sensorial and / or language unilateral neurological symptoms.

Methods: We present a case report of a male with typical aura without headache.

Results: Male with a history of migraine without aura in adolescence and without vascular risk factors. Referred from ophthalmology by biweekly episodes characterized by central teicopsia that progressively covers the entire visual field in 20 minutes, without being influenced by opening or closing eyes, which disappears after 40 minutes from the beginning. The episodes are not stereotyped, they are not followed by headache, nor do they associate other neurological symptoms. Neurological examination and complementary tests were normal. It is concluded in favor of typical aura without headache and after six months of starting treatment with Lamotrigine there were no recurrences.

Final conclusion: The diagnosis of typical aura without headache begins with an adequate anamnesis. Due to the nature of its manifestations it is necessary to differentiate it from other etiologies such as transient ischemic attacks and focal seizures due to the diagnostic, therapeutic and prognostic implications. It may appear, as in this case, in patients with migraine without aura. Lamotrigine is an excellent therapeutic option in the typical aura without headache.

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Author Biographies

Abel Alejandro Sanabria Sanchinel, Universidad de San Carlos de Guatemala, Guatemala. Hospital Clínico Universitario "Lozano Blesa", Zaragoza, España. Hospital del Mar, Parc de Salut Mar, Barcelona, España.

Nacimiento: Guastatoya, El Progreso, Guatemala - 30 de marzo de 1987

Nacionalidad: guatemalteco.

Médico y Cirujano - Universidad de San Carlos de Guatemala, Guatemala

Neurólogo - Hospital Clínico Universitario "Lozano Blesa", Zaragoza, España

Fellowship de Epilepsia - Hospital del Mar, Parc de Salut Mar, Barcelona, España
Waleska Madrid Rubí, Sección de Medicina Interna. Sanatorio Hospital Hermano Pedro, 17 av. 23-49 Zona 11, Carril Auxiliar Anillo Periférico, Ciudad de Guatemala, Guatemala CP 01011

Nacimiento: 1986, Tegucigalpa, Honduras.
Nacionalidad: hondureña.
Médico y Cirujano - Universidad Nacional Autónoma de Honduras (UNAH)
Maestra y Especialista en Medicina Interna - Universidad Francisco Marroquín, Sección de Medicina Interna. Sanatorio Hospital Hermano Pedro, 17 av. 23-49 Zona 11, Carril Auxiliar Anillo Periférico, Ciudad de Guatemala, Guatemala CP 01011.

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