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Table 2 Aura symptoms and individual symptom features

From: Clinical features of migraine with aura: a REFORM study

 

All (n = 227)

EM (n = 69)

CM (n = 158)

Visual aura

215 (94.7)

67 (97.1)

148 (93.7)

 Positive symptoms

192 (89.3)

63 (94.0)

129 (87.2)

 Negative symptoms

127 (59.1)

38 (56.7)

89 (60.1)

 Zig-zag pattern

76 (35.3)

22 (32.8)

54 (36.5)

 Flickering

151 (70.2)

52 (77.6)

99 (66.9)

 Sawtooth edge

30 (14.0)

13 (19.4)

17 (11.5)

 Gradually spreading

155 (72.1)

51 (76.1)

104 (70.3)

  Central onseta

45 (20.9)

11 (16.4)

34 (23.0)

  Peripheral onseta

109 (50.7)

39 (58.2)

70 (47.3)

 Mean duration (min)

49.2 (109.7)

37.6 (35.6)

54.4 (129.8)

 Duration < 5 min

8 (3.7)

3 (4.5)

5 (3.4)

 Duration 5–60 min

185 (86.0)

59 (88.1)

126 (85.1)

 Duration > 60 min

22 (10.2)

5 (7.5)

17 (11.5)

 Unilateral symptoms

109 (50.7)

38 (56.7)

71 (48.0)

  Sidelocked symptomsb

51 (23.7)

17 (25.4)

34 (23.0)

 Aura ipsilateral to headachec

18 (8.4)

5 (7.5)

13 (8.8)

 Aura contralateral to headachec

64 (29.8)

22 (32.8)

42 (28.4)

Somatosensory aura

81 (35.7)

21 (30.4)

60 (38.0)

 Positive symptoms

69 (85.2)

18 (85.7)

51 (85.0)

 Negative symptoms

28 (34.6)

7 (33.3)

21 (35.0)

 Gradually spreading

58 (71.6)

13 (61.9)

45 (75.0)

 Mean duration (min)

136.7 (503.4)

299.5 (934.0)

79.8 (187.4)

 Duration < 5 min

2 (2.5)

0

2 (3.3)

 Duration 5–60 min

56 (69.1)

13 (61.9)

43 (71.7)

 Duration > 60 min

23 (28.4)

8 (38.1)

15 (25.0)

 Unilateral symptoms

55 (67.9)

16 (76.2)

39 (65.0)

  Sidelocked symptomsb

35 (43.2)

11 (52.4)

24 (40.0)

 Aura ipsilateral to headachec

8 (9.9)

5 (23.8)

3 (5.0)

 Aura contralateral to headachec

35 (43.2)

8 (38.1)

27 (45.0)

Speech and/or language aura

31 (13.7)

11 (15.9)

20 (12.7)

 Non-fluent aphasia

23 (74.2)

8 (72.7)

15 (75.0)

 Fluent aphasia

5 (16.1)

0

5 (25.0)

 Dysarthria

9 (29.0)

5 (45.5)

4 (20.0)

 Mean duration (min)

65.7 (109.7)

103 (170.9)

44.2 (42.9)

 Duration < 5 min

1 (3.2)

0

1 (5.0)

 Duration 5–60 min

24 (77.4)

8 (72.7)

16 (80.0)

 Duration > 60 min

5 (16.1)

3 (27.3)

2 (10.0)

Number of aura symptoms

 1

148 (65.2)

48 (69.6)

100 (63.3)

 2

58 (25.6)

12 (17.4)

46 (29.1)

 3

20 (8.8)

9 (13.0)

11 (7.0)

 4

1 (0.4)

0

1 (0.6)

  1. Data are mean (SD) or n (%)
  2. Abbreviations: CM Chronic migraine, EM Episodic migraine, SD Standard deviation
  3. aIncludes only participants with gradually spreading symptoms
  4. bIncludes only participants with unilateral symptoms
  5. cIncludes only participants with both unilateral aura symptoms and unilateral headache