Aura Without the Migraine?

Health Professional

Full Question:

I am having aura without migraines lately and I'm curious as to why that may be occurring. I am taking the Neurontin twice daily otherwise I am not taking any medication for my migraines I've also had Botox about a month ago. I still have a problem with tension headaches but the migraines have decreased significantly since I have started the Neurontin. What do you think could be the reason why I am having aura without migraine? Lori.

Full Answer:

Dear Lori:

There are any number of reasons that you could be experiencing the migraine aura without the headache. A migraine can have up to four phases, each with their varying possible symptoms. Not all migraines have all of the phases. It's not uncommon to have a migraine attack without the headache phase. When this happens, it's described as an "acephalgic" or "silent" migraine. You can find more information on this in Acephalgic or Silent Migraine - The Basics. You can also find information about the possible phases of a migraine attack and their symptoms in Anatomy of a Migraine.

We can't really tell you why you're experiencing aura without headache, but it could be that the Neurontin and Botox are impacting your migraines and perhaps causing them to stop before they progress to the headache phase. That said, it's important to discuss any change in your migraine pattern with your doctor. Symptoms associated with migraine aura can also be caused by other health issues, so it's best to see your doctor to be sure of what's happening.

Thanks for your question,
David Watson, MD, and Teri Robert

About Ask the Clinician:

Dr. David Watson is a UCNS certified migraine and headache specialists and director of the Headache Center at West Virginia University. He and Lead Health Guide Teri Robert, team up to answer your questions about headaches and Migraines. You can read more about _ Dr. Watson_ or more about _** Teri Robert** _.

If you have a question, please click** HERE. Accepted questions will be answered by publishing the answers here. Due to the number of questions submitted, no questions will be answered privately, and questions will be accepted only when submitted via THIS FORM**. Please do not submit questions via email, private message, or blog comments. Thank you.

**_Please note: We cannot diagnose, suggest specific treatment, or handle emergencies via the Internet. Please do not ask us to diagnose; see your physician for diagnosis._** For an overview of how we can help and questions we can and can't answer, please see _**[Seeking Migraine and Headache Diagnoses and Medical Advice](** _.

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.

Follow Teri on or

Follow Dr. Watson on