Understanding Migraines

19 Less Often Discussed Migraine Aura Symptoms

Teri Robert Aug 16, 2013 (updated Oct 18, 2014)
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Different symptoms
Different symptoms
The migraine aura can have a wide variety of symptoms, some quite surprising. Some of these symptoms are merely annoying, while others can be quite debilitating. Let's take a look at them.
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Aphasia
Aphasia
Aphasia is loss or impairment of the ability to use or comprehend words. Aphasia can range from having difficulty finding the right words to being completely unable to speak intelligibly, write or read. One of the most public examples of aphasia occurred when reporter Serene Branson had sudden aphasia due to a migraine while reporting from the Grammy Awards.
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Auditory hallucinations
Auditory hallucinations
Auditory hallucinations, or hearing sounds that aren't already there, can occur as a migraine aura symptom. What's "heard" varies from one person to the next. People have reported hearing music, distant conversations, the sound of footsteps and more.
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Olfactory hallucinations
Olfactory hallucinations
Olfactory hallucinations involve smelling odors that don't actually exist. Also called phantosmias, this symptom is not often reported with migraines, but that may be because many people don't realize these smells can be a migraine symptom. Olfactory hallucinations are also known to occur in cluster headaches, hemicrania continua, and new daily persistent headache.
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Allodynia
Allodynia
Allodynia is a condition in which an ordinarily painless stimulus is experienced as being painful. The most common form during a migraine attack is cutaneous (of the skin) allodynia. You may have heard people say that even their hair hurts during a migraine. That's allodynia.
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Paresthesia
Paresthesia
Paresthesia is an abnormal or unpleasant sensation often described as numbness, or as a prickly, tingling, stinging or burning feeling. It's often likened to the feeling that occurs when a limb "falls asleep." Paresthesias can affect many parts of the body. During a migraine they most often occur in the hands or face, followed by the arms.
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Confusion
Confusion
Confusion is a common migraine aura symptom, making it difficult for a person to remember if they've taken medications or when they took them. For those who experience confusion during a migraine, it can be beneficial to have someone help with medications. Also, it's a good idea for a migraine patient to write down what they take and when they take it.
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Dizziness
Dizziness
Dizziness is the sensation of being unsteady, accompanied by a feeling of movement in the head. Dizziness is a fairly common migraine symptom. It is not the same thing as vertigo, which is when our surroundings seem to whirl around us. Vertigo can also be a migraine symptom. 
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Hiccups
Hiccups
A presentation at the 2013 International Headache Congress revealed that hiccups can be a symptom of migraine aura. The pathophysiology of hiccups is not well understood, but many of the nervous system structures involved in hiccups are also involved in migraine.
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Yawning
Yawning
Yawning is a very common migraine symptom. Researchers still aren't sure why yawning occurs so frequently during migraine aura.
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Irritability
Irritability
Irritability is another common migraine aura symptom. Irritability and other mood issues can occur because of the fluctuations in neurotransmitters such as serotonin, norepinephrine and dopamine in the brain.
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Chills
Chills
Some people experience chills as part of their migraine aura. They can also alternate chills with being too warm. For those who experience chills, it can be very comforting to keep a nice, soft blanket in a Migraine Attack Pack.
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Fatigue
Fatigue
Fatigue is a very common symptom during the migraine aura. It can range from mild to severe.
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Increased urination
Increased urination
Increased urination is a common migraine aura symptom that can be very inconvenient, especially when away from home.
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Loss of appetite
Loss of appetite
Loss of appetite is a frequent symptom of migraine aura, even for those not experiencing any nausea.
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Neck pain
Neck pain
Neck pain can be a migraine symptom that begins as early as the prodrome. It can run through the aura and headache phases as well. Most people realize that nausea is a common migraine symptom, but research has shown that neck pain is even more prevalent.
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Decreased or lost hearing
Decreased or lost hearing
A temporary decrease in hearing or temporary loss of hearing can be a migraine aura symptom. Hearing should return to normal after the migraine attack.
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Monocular blindness
Monocular blindness
Temporary monocular blindness can be a very frightening migraine aura symptom. This is total blindness in one eye only and it occurs only in retinal migraine. Vision should return when the migraine ends. Anyone experiencing this for the first time should contact their doctor to rule out other potential reasons for the blindness.
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Hemiplegia or motor weakness
Hemiplegia or motor weakness
Both hemiplegia and motor weakness can be migraine aura symptoms. The one-sided paralysis and the weakness occur only in hemiplegic migraine. It's important to distinguish true motor weakness from paresthesia. Anyone experiencing hemiplegia or motor weakness for the first time should consult their doctor so other conditions can be ruled out.