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Persistent Migraine Aura without Cerebral Infarction Causes, Symptoms, and Treatment

Persistent Migraine Aura without Cerebral Infarction (PMA) is a rare type of migraine headache that is characterized by visual disturbances that persist for days, weeks, or even months. Unlike other migraines, PMA does not typically cause a stroke or cerebral infarction. However, the condition can be debilitating and severely impact a person's quality of life.

Causes

The exact cause of PMA is unknown, but it is believed to be related to changes in the brain's electrical activity. People with PMA may have a genetic predisposition to the condition, and certain triggers such as stress, hormonal changes, and certain foods may also play a role.

Symptoms

The primary symptom of PMA is a visual disturbance that persists for an extended period of time. These disturbances can include seeing flashing lights, zigzag lines, or blind spots in the visual field. Other symptoms may include nausea, vomiting, and sensitivity to light and sound.

Treatment

There is no cure for PMA, but there are treatments available that can help manage the symptoms. These treatments may include medications to relieve pain and reduce inflammation, as well as lifestyle changes such as stress reduction and avoiding trigger foods. In some cases, a doctor may recommend a procedure to stimulate the nerves in the affected area of the brain.

1. Medications: Over-the-counter pain relievers such as aspirin or ibuprofen may be helpful in managing PMA symptoms. Prescription medications such as triptans or ergotamines may also be prescribed to treat the condition.
2. Lifestyle Changes: Avoiding triggers such as stress, certain foods, and hormonal changes may help prevent PMA attacks. Stress reduction techniques such as meditation and yoga may also be helpful.
3. Brain Stimulation: In some cases, a doctor may recommend a procedure to stimulate the nerves in the affected area of the brain. This procedure, called transcranial magnetic stimulation (TMS), uses magnetic fields to stimulate the brain and can help reduce the severity and frequency of PMA attacks.

If you are experiencing persistent visual disturbances or other symptoms of PMA, it's essential to speak with a doctor to receive an accurate diagnosis and appropriate treatment. With proper management, people with PMA can live happy and healthy lives.