Migraine Without Aura Vs Migraine With Aura: Understanding The Differences

When it comes to migraines, there are several classifications, including migraine with aura, migraine without aura, basilar-type migraine, and others. These types vary in symptoms and severity. One of the most common questions people ask is: what is the difference between regular migraine and classic migraine?

What Is Migraine Without Aura?

Migraine without aura, often referred to as common migraine, typically presents with a headache that can affect one or both sides of the head, and in some cases, the entire head. The pain is usually mild to moderate and can be managed with over-the-counter painkillers and rest. These headaches may last for a few hours to a couple of days and generally do not severely disrupt daily life. Unlike other types, they do not involve neurological disturbances before or during the attack.

Understanding Migraine With Aura

Migraine with aura, also known as classic migraine, is characterized by a distinct warning phase known as an aura. This phase often includes visual disturbances such as flashing lights, blind spots, or zigzag lines. The headache that follows is typically one-sided and affects areas like the forehead, temples, and around the eyes. The pain can range from moderate to severe and lasts anywhere from 4 to 72 hours.

Key Features Of Migraine With Aura

Intermittent Pattern: There are clear periods of relief between attacks, during which the individual feels completely normal.

Severe Symptoms: During an episode, patients may experience nausea, vomiting, and sensitivity to light and sound. Some are unable to perform daily activities due to the intensity of the pain.

Long-Term Course: This type of migraine can persist for years or even decades. Traditional treatments like medication and acupuncture often provide minimal relief.

What Causes Classic Migraine?

Research has shown that in many cases, migraine with aura is caused by blood vessels pressing on nerves. This discovery has led to the development of surgical interventions for patients who meet specific criteria.

Advanced Treatment Options

For those who suffer from chronic migraine with aura that doesn't respond to conventional treatments, microvascular decompression surgery is an effective option. This advanced procedure, offered by neurosurgeons, has been shown to significantly reduce or eliminate migraine symptoms in eligible patients.