What Is the Treatment of Migraine with Aura?
Migraine with aura is a distinct subtype of migraine in which headache episodes are preceded or accompanied by transient neurological aura symptoms. Preventive management targets both the frequency of aura episodes and the associated migraine attacks.
Clinical scenario
This protocol addresses patients with established migraine with aura where the primary therapeutic objective is reducing the recurrence of aura episodes alongside migraine attack frequency.
Treatment approach
The evidence-based regimen for this scenario involves preventive pharmacotherapy specifically selected for its effect on aura frequency — including at least one agent whose mechanism of action is distinct from standard migraine prophylaxis.
Full regimen, selection criteria, and dosing available via the structured protocol below.
References
- Lamotrigine is not effective in the reduction of migraine attack frequency, but it may reduce the frequency of migraine attacks with aura.
- Flunarizine can result in a reduction in frequency of both auras and migraine attacks.
- In individual cases, topiramate is also effective.
DOI: 10.1177/2514183X1882337
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