Simple visual symptoms can include static, flashing, or moving lights/shapes/colors caused mostly by abnormal activity in the primary visual cortex. When the primary somatosensory cortex is activated, more discrete parts on the opposite side of the body and the secondary somatosensory areas result in symptoms ipsilateral to the seizure focus. Likewise, somatosensory auras (such as tingling, numbness, and pain) can result if the somatosensory cortex is involved. If the motor cortex is involved in the overstimulation of neurons, motor auras can result. Īuras are particularly common in focal seizures. The activation in the brain during an aura can spread through multiple regions continuously or discontinuously, on the same side or to both sides. The most common auras include motor, somatosensory, visual, and auditory symptoms. In addition to being a warning sign for an impending seizure, the nature of an aura can give insight into the localization and lateralization of the seizure or migraine. Seizures Īn epileptic aura is the consequence of the activation of functional cortex by abnormal neuronal discharge. The differential diagnosis of patients who experience symptoms of paresthesias, derealization, dizziness, chest pain, tremors, and palpitations can be quite challenging. Īuras can also be confused with sudden onset of panic, panic attacks or anxiety attacks, which creates difficulties in diagnosis. Most people who have auras have the same type of aura every time. It is common for people with migraines to experience more than one type of aura during the migraine. The aura can stay for the duration of the migraine depending on the type of aura, it can leave the person disoriented and confused. However, the migraine aura can manifest itself in isolation, that is, without being followed by headache. The aura is usually followed, after a time varying from minutes to an hour, by the migraine headache. The aura of migraine is visual in the vast majority of cases, because dysfunction starts from the visual cortex. Auras, when they occur, allow some people who have epilepsy time to prevent injury to themselves and/or others when they lose consciousness. An epileptic aura is in most cases followed by other manifestations of a seizure, for example a convulsion, since the epileptic discharge spreads to other parts of the brain. It is important because it makes it clear where the alteration causing the seizure is located. a seizure that originates from that area of the brain responsible for the function which then expresses itself with the symptoms of the aura. Therefore, if the visual area is affected, the aura will consist of visual symptoms, while if a sensory one, then sensory symptoms will occur.Įpileptic auras are subjective sensory or psychic phenomena due to a focal seizure, i.e. Įpileptic and migraine auras are due to the involvement of specific areas of the brain, which are those that determine the symptoms of the aura. Persistent aura without infarction, retinal migraine, visual snowĪn aura is a perceptual disturbance experienced by some with epilepsy or migraine. Artist's depiction of zig-zag lines appearing as part of a migraine aura phenomenon
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