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Author (up) Oey, Nicodemus E. openurl 
  Title Migraine with Multiple Sensory Auras. Type of Study RCT
  Year 2016 Journal Title Acta Neurologica Taiwanica Abbreviated Journal  
  Volume 25 Issue 4 Pages  
  Subjects Migraine with Aura; Acupuncture  
  Abstract Migraine auras are typically visual in nature but can manifest as disturbances in somatosensory, auditory,

and olfactory senses. Reports of multiple sensory auras are rare in the literature, but their existence may

offer novel insights into the pathogenesis of this highly common yet complex neurological condition. Here

we report a case of multiple sensory auras involving somatosensory, auditory, and olfactory disturbances

in a patient with migraine without visual manifestations.

A 45-year-old woman with a 20-year history of migrainous headaches presented with complaints of right-

sided facial and hand numbness and paraesthesia. In addition to somatosensory symptoms, she eventually

presented with tinnitus, cutaneous allodynia, and phantosmia, each of which was temporally associated

with episodes of headache. No abnormalities were detected on NCS, EEG, MRI, and laboratory

investigations. Her symptoms were managed by prophylactic medications and acupuncture. The theories

of cortical spreading depression, cortical sensitization, and thalamocortical network involvement were

discussed as possible explanations for sensory auras in migraine. This case report of migraine with

multiple sensory auras spanning somatosensory, auditory, and olfactory modalities offers novel insights

into the pathophysiology of migrainous auras
 
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  Call Number OCOM @ refbase @ Serial 10200  
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