Medical Forum / General / Vision / October 2006
My Favorite Migraine Aura -- A Must Read -- Petrifying and Pleasureable!
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Radium - 24 Oct 2006 18:54 GMT Hi:
I would like to experience a migraine aura as long as there is nothing but the aura and the aura is only temporary [approximately 15 minutes to 6 hours]. I've read about the aura and find it both enjoyable and scary. I like the visual symptoms, the dizziness, the numbness, etc.
I certainly would *not* want to have the headache phase or the post-headache* phase of the migraine. I just want the aura.
*After a migraine headache, many patients experience tension headaches.
NOTE: sensitivity to light/sound is *not* part of the aura. I only want the aura and no other part of the migraine
AFAIK, the aura is due to the intense vasoconstriction. The headache OTOH, is due to vasodilation. The the tension headache is an after-effect of a migraine headache.
The vasoconstriction in "migraine with aura" is more intense and longer-lasting then in the "migraine without aura." This is probably why the former causes an aura while the latter does not.
In addition -- prior and during vasoconstriction -- the blood entering the brain is hyperoxygenated. The excess oxygen may play a role in causing the brain's blood vessels to go into spasm and narrow. In patients with "migraine aura", the brain's blood contains significantly more oxygen than patient who experience "migraine without aura"
Here are the affects of my favorite migraine aura caused by vasoconstriction solely in the brain and nowhere else [not even the eyes or the ears]:
1. Unilateral visual symptoms which affect only the left half of the left eye in which the more left you go [in that left half of the left eye] the more the vision is affected, while the right eye -- as well as the right half of the left eye -- have their vision intact and totally unaffected. The left half of the left eye experiences the following symptoms [the extreme left of the left half of the left eye is ]:
A. Blurry vision
B. Image distortion [2-D images appear 3-D]
C. Dysmetropsia, i.e., macropsia, micropsia, pelopsia and teleopsia (objects appearing larger, smaller, nearer and further away, respectively)
D. Tilted vision, inverted vision and other forms of illusory rotation
E. Diplopia (double vision)
F. Polyopia (vision of multiple images)
G. Visual perseveration, i.e., prolonged afterimages, palinopsia (the persistence or reappearance of an image of a previously viewed object), illusory visual spread (the illusory extension of the visual perception over an area greater than that which the stimulus-object would be expected to excite)
H. Cinematographic vision (visual illusion whereby the normal perception of moving objects is replaced by seeing a series of "stills" as in a film run too slowly)
I. Corona phenomenon (extra-contour around objects)
J. Metamorphopsia (distorted vision)
K. Facial metamorphopsia (distorted vision of human faces),
L. Mosaic illusion (fracture of the visual image into pieces dovetailed together as in a mosaic),
M. Autokinesis (illusion of apparent movement of stationary objects)
N. Hallucinations of blobs, amorphous shapes, blurry patterns, watery patterns with no definite design
O. Hallucinations of herringbone patterns, zig-zags, polygons, all angular figures without curves or rounded corners, crosses
P. Hallucinations of circles, ellipses, parabolas, hyperbolas, sine wave patterns, fingerprint whorls, spheres, balls, scribbling
Q. Hallucinations of of spider webs, nets, unsymmetrical lattices and filigrees, veins
R. Hallucinations of of lattices, gratings, grids, screens, fretwork, checkerboard, honeycombs
S. Hallucinations of of tunnels, funnels, alleys, cones, vessels, pits, corridors
T. Hallucinations of spirals, pinwheels, springs
U. Hallucinations of kaleidoscopes, mandalas, symmetrical snowflakes, lacework, mosaics, symmetrical flowerlike patterns.
V. Hallucinations of any recognizable imagery such as faces, people, landscapes, panoramic vistas, animals, inanimate objects, cartoons
W. Upside-down vision
X. Blindness [*without* any blackness, darkening or diming of vision] [Now for those of you who think blindness is the same thing as seeing blackness when you close your eyes - you are completely wrong. Blindness is like trying to see and there is nothing registering with the brain. You don't see blackness... you don't 'see' anything. The sense to see is gone.]
Y. Body image disturbance -- Alice in Wonderland syndrome -- macro- and microsomatognosia, out-of-body experiences or felt presences
Z. Achromatopsia (loss of colour vision), chromatopsia (distortion of colour vision), and prosopagnosia (agnosia for faces). In addition to visual distortions, visual hallucinations, and visual illusions that alter the sense of balance even if the organs of balance and their associated brain-regions aren't directly affected by any ailment.
2. Non-visual symptoms affecting only the left side of the body [and getting more extreme at the extremities (e.g. finger and toes) and milder at the center]. (To make the symptoms more easy to describe, lets draw a line two divide the body into left and right -- the further you go to left, the more extreme the symptoms will be. If you are on the left, then the closer you go the the line [i.e. the center] the milder the symptoms will be). Here are the symptoms:
A. Paralysis B. Numbness C. Painless sensation [tactile hallucination] of coldness resembling that caused by TRPM8-receptor stimulation [caused by vasoconstriction in the part(s) of the brain the interpret signal from TRPM8-receptors. D. Tactile hallucinations of movement E. Impaired coordination F. Involuntary movements G. Body image disturbance -- Alice in Wonderland syndrome -- macro- and microsomatognosia, out-of-body experiences or felt presences
http://users.rcn.com/jkimball.ma.ultranet/BiologyPages/P/Pain.html
"One, designated TRPM8, is a channel that admits Ca2+ and Na+ in response to moderate cold (<28°C) or menthol (the ingredient that gives mint its "cool" touch and taste)."
3. Other symptoms:
A. Disturbance in the sense of balance in terms of the left inner ear -- i.e. the brain's reception of balance signals from the left inner ear is altered due to vasoconstriction in the part[s] of the brain concerned with balance from the left inner ear. Symptoms are dizziness, impaired balance, loss of balance, vertigo, as well as random hallucinations involving the sense of balance. Hearing and digestive functions are totally unaffected. No nausea or vomiting.
B. Body image disturbance -- Alice in Wonderland syndrome -- macro- and microsomatognosia, out-of-body experiences or felt presences.
C. Speeding up of time perception -- "time flys abnormally fast" -- opposite of marijuana's affect on sense of time.
D. Depersonalization
E. Derealization
F. Aphasia -- motor and sensory
G. Dysarthria
H. Stuttering
I. Involuntary vocalizations
J. Paralysis of speech muscles
K. Global aphasia
L. Broca's aphasia
M. Wernicke's aphasia
N. Anomic aphasia
O. Reading disturbances
P. Writing disturbances
Q. Paramnesias [such as Déjà vu and Jamais vu]
R. Forced Reminiscence -- dream-like states
S. Synaesthesia involving senses of vision, balance, time, space, and movement
T. Recurring dreams as migraine aura experiences
U. Migraine aura symptoms experienced whilst dreaming
V. Alteration of dreams as a direct result from cerebral vasoconstriction
W. Alterations in level of consciousness
X. Decrease in -- or loss of -- awarness [resembling absence or partial seizure in which consciouness is retained but awarness is impaired]
Y. False memories; distortion of real memories; impaired short-term memory; increased focus on long-term memories.
Z. Near-death experience due to severe and prolonged cerebral vasospasm
Regards,
Radium
P.S. the symptoms described above are definitely terrifying but at the same time, they can be SO enjoyable!
Radium - 24 Oct 2006 22:18 GMT > The left half of the left eye experiences the following > symptoms [the extreme left of the left half of the left eye is]: Sorry that sentence in the brackets should be "the extreme left of the left half of the left eye is affected the most severely"
John - 25 Oct 2006 01:53 GMT Radium schrieb:
> Hi: > > I would like to experience a migraine aura as long as there is nothing > but the aura and the aura is only temporary [approximately 15 minutes > to 6 hours]. I've read about the aura and find it both enjoyable and > scary. I like the visual symptoms, the dizziness, the numbness, etc. I have had the 'honour' of experiencing a 'migraine aura' without any headache.
I had it at intervals of 1-2 years, from March 1996 until September 2004 without knowing what it was and regularly ending up either into Emergency Ward or Stroke Unit for fear of having a stroke, since at the same moment (very probably because of the following panic) my blood pressure reached 270 systolic and 140 diastolic.
It was only when in September 2004 a friend neurologist told me it was a case of 'fortification spectrum' that I searched internet and found the site www.migraine-aura.de of Prof. Markus Dahlem in Magdeburg, Germany, who is a specialist in this area and does research on it.
Now, after reading a lot about it, I know that my aura is caused very probably by 'contractions' of small vessels in the visual area of the back cortex. There is a theory about it, the CSD-Theory ('Cortex Spreading Depression') which thinks the onset of such visual 'hallucinations' follow a very precise pattern, starting with a 'black spot' in the middle of the visual field, and then 'enlarges' towards the periphery, showing 'zig-zag' segments, similar to a 'defending military fortress'. That is why it was named 'fortification spectrum' from the first doctor, in the 18th century, who described it for the first time.
I had exactly this type of hallucinations.
Once you know what it is, then it becomes less 'fearful'.
But I guarantee that it is no joke to have it for 8 years not knowing what it is and landing in a stroke unit with suspicion of stroke.
For the record : since I have started taking anti-hypertensive medications the attacks have ceased.
Greetings to all.
John.
Ann - 27 Oct 2006 23:48 GMT >Radium schrieb: >> Hi: [quoted text clipped - 6 lines] >I have had the 'honour' of experiencing a 'migraine aura' without any >headache. They call it ocular migraine here. I've had it for years.
Ann
>I had it at intervals of 1-2 years, from March 1996 until September 2004 >without knowing what it was and regularly ending up either into [quoted text clipped - 31 lines] > >John. Radium - 28 Oct 2006 05:46 GMT > They call it ocular migraine here. I've had it for years. What if the aura includes non-visual symptoms?
Ann - 28 Oct 2006 21:14 GMT >> They call it ocular migraine here. I've had it for years. > >What if the aura includes non-visual symptoms? It's not an aura if it doesn't precede a headache. That's what aura means.
Ann
The Real Bev - 28 Oct 2006 23:50 GMT >>> They call it ocular migraine here. I've had it for years. >> What if the aura includes non-visual symptoms? > > It's not an aura if it doesn't precede a headache. That's what aura > means. If you want to be really pedantic, it can also mean spiritual or electromagnetic emanations having nothing to do with migraines.
 Signature Cheers, Bev =================================== New sig on order, watch this space.
John - 29 Oct 2006 02:16 GMT The Real Bev schrieb:
>> It's not an aura if it doesn't precede a headache. That's what aura >> means. > > If you want to be really pedantic, it can also mean spiritual or > electromagnetic emanations having nothing to do with migraines. How nice that you all here seem to take this phenomena as something very thrilling.
To me, I admit, it scared the sh**t out of me, thinking everytime that I was having something like a stroke and ran immediately to the stroke unit.
To me it's still no fun at all. So nice they can be, these 'scotomas' and 'fortification spectra', I cannot ignore the fact that they do represent vascular constriction and are the sign of 'cortex spreading depression'. Which means that there is a sort of blood supply to some vessels, which cause abnormal action potentials in cells, probably producing electrical spikes which cause these phenomena.
Okay, perhaps I am a born worrier. However, I prefer to 'hear' about it, rather then 'experience' it....
John.
The Real Bev - 29 Oct 2006 01:50 GMT > The Real Bev schrieb: > [quoted text clipped - 4 lines] > How nice that you all here seem to take this phenomena as something very > thrilling. The first time it happened I was driving in some mountain valley and it scared the sh.t out of me. Since it didn't get any worse I kept on driving and then it went away. The second time I tried to get to my optometrist's office (only a block away), but by the time I got there it was gone. The third time I knew what it was and just enjoyed it. It bothers me to have 1/3 of my vision blocked out, but at least I get to see what appear to be pretty polarized crystalline patterns.
> To me, I admit, it scared the sh**t out of me, thinking everytime that > I was having something like a stroke and ran immediately to the stroke unit. [quoted text clipped - 5 lines] > vessels, which cause abnormal action potentials in cells, probably > producing electrical spikes which cause these phenomena. Oh crap, now I DO have something to worry about. On second thought, I'll worry about it the next time it happens. Maybe. If I remember...
> Okay, perhaps I am a born worrier. However, I prefer to 'hear' about it, > rather then 'experience' it.... All things considered, they're a nuisance. OTOH, if the occasional scotoma meant I could eat whatever I wanted without gaining weight I'd consider it a more than fair bargain.
 Signature Cheers, Bev =================================== New sig on order, watch this space.
Radium - 29 Oct 2006 03:24 GMT > The first time it happened I was driving in some mountain valley and it > scared the sh.t out of me. Since it didn't get any worse I kept on [quoted text clipped - 3 lines] > bothers me to have 1/3 of my vision blocked out, but at least I get to > see what appear to be pretty polarized crystalline patterns. Well, I agree with you about the driving part. You don't want visual -- or any other sensory disturbances -- while driving.
> Oh crap, now I DO have something to worry about. On second thought, > I'll worry about it the next time it happens. Maybe. If I remember... Nah. Just enjoy the adrenaline-pumping hallucinations and mental-dissociation caused by the migraine's vasoconstriction.
> > Okay, perhaps I am a born worrier. However, I prefer to 'hear' about it, > > rather then 'experience' it....
> All things considered, they're a nuisance. I'd think they are enjoying once or twice. But with a monotonous spot, I'd call it boring.
John - 29 Oct 2006 14:02 GMT The Real Bev schrieb:
> All things considered, they're a nuisance. OTOH, if the occasional > scotoma meant I could eat whatever I wanted without gaining weight I'd > consider it a more than fair bargain. ...I start to see it that way myself. :-))
Two days ago I again ad aura, after a day of extreme anger. And after almost two years.
'Oh sh.t ! Not again', I thought at first.
But I wasn't going to let THAT ruin my plans any more. So I laid down until it stopped, ca. 20 minutes. Then I took a shower and went to the only nice thing on the program that day : a night with a beautiful lady !!
Yes. Its a fair bargain all right. :-)))
John.
Radium - 29 Oct 2006 03:20 GMT > So nice they can be, these 'scotomas' > and 'fortification spectra', I cannot ignore the fact that they do > represent vascular constriction and are the sign of 'cortex spreading > depression'. Which means that there is a sort of blood supply to some > vessels, which cause abnormal action potentials in cells, probably > producing electrical spikes which cause these phenomena. Yup. Thats why I just love to experience these visual auras. Add a terryfing sense of derealizations to it. Derealization is a acute dissociative state of mental confusion in which things start to feel unreal. It can be totally-painless, yet extremely frightening and really enjoyable.
I find the non-visual symptoms of the aura just as interesting and enjoyable as the visual ones.
Everyone experience some level of derealization one the process from a wake-state to a sleep-state and visa versa, yet we don't notice it. Its when you are fully-aware of the derealization that things can get really enjoyable and terrifying.
> Okay, perhaps I am a born worrier. However, I prefer to 'hear' about it, > rather then 'experience' it.... Well, I'd try to enjoy those temporary visual aberrations. Usually, there isn't much to worry about unless you and/or a member of your immediate family has suffered a stroke or a TIA.
John - 29 Oct 2006 13:57 GMT Radium schrieb:
> Yup. Thats why I just love to experience these visual auras. Add a > terryfing sense of derealizations to it. Derealization is a acute > dissociative state of mental confusion in which things start to feel > unreal. It can be totally-painless, yet extremely frightening and > really enjoyable.
> I find the non-visual symptoms of the aura just as interesting and > enjoyable as the visual ones. [quoted text clipped - 3 lines] > when you are fully-aware of the derealization that things can get > really enjoyable and terrifying. How interesting. I never saw a connection between derealisation sinptoms and visual aura. Also because derealization phenomena I experenced occasionally since the age of 17, while aura came for the first time when I was 49 (now I am 59).
But *if* there is a connection, that would explain a lot of things which might be neurologically connected.
For instance a 'paroxysmal positional vertigo'.
At the beginnig I thought the aura itself was like a TIA.
In my case I explain this phenomena with a severe hypertension which I had for many years (10 years) with daily peaks of 240/130, without any medication. After I started taking medications and BP values were dramatically reduced, I never had any aura since.
> Well, I'd try to enjoy those temporary visual aberrations. Usually, > there isn't much to worry about unless you and/or a member of your > immediate family has suffered a stroke or a TIA. Well, unfortunally I had a TIA.....it was a minor 'prickle' in the right arm, due to a very small hemorrage (4,5mm).
Since then I take medications for hypertension.
John.
Ann - 29 Oct 2006 18:44 GMT >The Real Bev schrieb: > [quoted text clipped - 6 lines] >How nice that you all here seem to take this phenomena as something very >thrilling. I don't know about "you all". One nutcase says he likes them. One doesn't constitute us all. I don't like them particularly but I try just to sit them out.
Ann
>To me, I admit, it scared the sh**t out of me, thinking everytime that >I was having something like a stroke and ran immediately to the stroke unit. [quoted text clipped - 10 lines] > >John. Radium - 29 Oct 2006 19:01 GMT > One nutcase says he likes them. I like them because they are so exciting. Lots of things that are scary can also be enjoyable.
Francis Burton - 28 Oct 2006 13:21 GMT >>I have had the 'honour' of experiencing a 'migraine aura' without any >>headache. > >They call it ocular migraine here. I've had it for years. I am fortunate not to suffer from migraine headaches. However, I did have an aura once - the classic zigzags of flickering light and dark around the edge of the visual field with a fair amount of scotoma ("blind spot"). After a couple of minutes of thinking "This is fun! Now I know what it's like." and being engrossed in the aesthetics of the light show, I suddenly realized this might be the lead in to something unpleasant. So I went and made myself a strong cup of coffee. Actually, this would probably have been a bad move for some migraine sufferers for whom caffeine can make an attack more likely. I had forgotten that. Rather, the logic was that my worst headaches occurred when I had gone without drinking coffee for a long time; therefore I could avert the headache by taking caffeine. Luckily the aura faded after a few minutes and there were no other migraine symptoms.
The aura was visually interesting, but can't compare to the joyful experience created by what I assume are mild temporal lobe storms.
Francis
Ann - 28 Oct 2006 21:13 GMT >>>I have had the 'honour' of experiencing a 'migraine aura' without any >>>headache. [quoted text clipped - 18 lines] >The aura was visually interesting, but can't compare to the joyful >experience created by what I assume are mild temporal lobe storms. It's not an aura if it doesn't precede something. That's what aura means.
Ann
Francis Burton - 29 Oct 2006 15:05 GMT >>The aura was visually interesting, but can't compare to the joyful >>experience created by what I assume are mild temporal lobe storms. > >It's not an aura if it doesn't precede something. That's what aura >means. It preceded a strong cup of coffee. :-)
Seriously, what should I have called it then?
Francis
Ann - 29 Oct 2006 18:47 GMT >>>The aura was visually interesting, but can't compare to the joyful >>>experience created by what I assume are mild temporal lobe storms. [quoted text clipped - 5 lines] > >Seriously, what should I have called it then? Ocular migraine is the usual term.
Ann
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