Many people believe that migraines are excruciating pain! But migraine symptoms are far more than pain. Typical migraine has four stages (pre headache, aura, headache and post headache). Many people suffer from typical migraine but a minority has painless migraines.
If you go by the guidelines of the I-H-S (international headache society) for classification and diagnosis of migraine disorders, you will not find painless headache!. It is called optical migraine or acephalgic (without headache) migraine.
Painless migraine symptoms:
Silent headache begins with the typical phase of pre headache, progresses to the migraine aura stage after that stops short. It skips the pain stage (headache). If you have painless migraine, you have visual aura symptoms and other without-headache symptoms.
Pre headache stage
It is referred to as the prodrome. You may enter this phase before recognizing migraine. It is a warming stage so recognizing it is very helpful. It has many symptoms such as:
1- Neck muscle stiffness
2- Irritability
3- Frequent urination
4- Food cravings
5- Fatigue
6- Depression
7- Diarrhea
8- Constipation
Aura stage
It is lasting less than an hour. It is a visual disturbance such as: flashing lights, spots in front of eyes and zigzag lines.
Aura's phase has many symptoms such as
Visual hallucination ( zigzag lines, spots, wavy lines or flashing bright lights )
Numbness or tingling of your face
Blurry or partial vision - sight loss
Partial paralysis
Olfactory hallucinations ( you may smell odors which aren't there )
Reduced touch and feel or increased touch and feel
Dizziness
Hearing ability decreasing
Confusion in thinking
Auditory hallucinations.
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