04/30/07 #5 - Having more than one type of Migraine? No headache?

Ask the Clinician Health Pro
  • Full Question:
    Is it possible for an individual to have symptoms of different types of migraines?  I have had migraines with aura but without headache for many years.  I experience a blank spot in my field of vision and then zig zag lights that last about 20 - 30 minutes.  Recently, I have had 2 episodes of blurred vision at a distance.  One episode included a headache; the other time I had nausea, but no headache.  I also have had a few of my "normal" migraines recently.

    Thank you for your thoughts, Helen.


    Dear Helen;
    It's not just the symptoms -- it's entirely possible and not uncommon for a Migraineur to actually have more than one type of Migraine. For example: Only about 25% of Migraineurs experience the aura phase of a Migraine attack, and most of them don't experience it with all Migraines. Thus, they usually have a dual dianosis of Migraine with Aura and Migraine without aura.
    Add This Infographic to Your Website or Blog With This Code:

    What you're describing here, however, doesn't exactly fit into that situation. You need to see your own doctor for confirmation of this, but you may be experiencing "acephalgic" Migraines, aka "silent" Migraines. This is actually a descriptive term, not a separate diagnosis or type of Migraine. Whether a Migraineur has Migraine with aura, Migraine without aura, hemiplegic Migraine, or another type of Migraine, none of these has to always consist of all four of the possible phases of Migraine. When a Migraine doesn't include the headache phase, it's "acephalgic" or "silent."

    Good luck,
    John Claude Krusz and Teri Robert

    About Ask the Clinician:

    Dr. Krusz is a recognized expert in the fields of headache and migraine treatment and pain treatment. Each week, he and Lead Expert Teri Robert, team up to answer your questions about headaches and Migraines. You can read more about Dr. Krusz or more about Teri Robert. If you have a question for this section of our site, please click HERE. Accepted questions will be answered by publishing the answers here. No questions will be answered privately.

    Please note: We cannot handle emergencies or diagnose via the Internet. Please do not ask us to diagnose; see your physician for diagnosis.

    We hope you find this general medical and health information useful, but this Q & A is meant to support not replace the professional medical advice you receive from your doctor. For all personal medical and health matters, including decisions about diagnoses, medications and other treatment options, you should always consult your doctor. See full Disclaimer.

Published On: April 30, 2007