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Dysphasia and Other Higher Cortical Dysfunctions During the Migraine Aura-a Systematic Review of Literature.
Current Pain and Headache Reports ( IF 3.2 ) Pub Date : 2020-01-24 , DOI: 10.1007/s11916-020-0836-3
Igor Petrusic 1 , Michele Viana 2, 3 , Chiara Zecca 2, 4 , Jasna Zidverc-Trajkovic 5, 6
Affiliation  

Purpose of the Review

Although visual and somatosensory disturbances are the most common migraine aura (MA) symptoms, patients can also experience other symptoms during their MA. The aim of this review is to provide an overview of studies that report symptoms of dysphasia and other higher cortical dysfunctions (HCDs) during MA, as well as to determine the frequency of HCDs.

Recent Findings

Five studies met the inclusion criteria, corresponding to 697 patients overall. The most frequently reported HCDs were those of the language group (range 10–53%). The occurrence of visual HCDs was noted in 12–40 patients, somatosensory HCDs in 12–20%, and memory disturbances in 10–22% of the patients during MAs.

Summary

MA is associated with a wide range of neurological symptoms, including symptoms of HCD. A better strategy for investigation of the HCD symptoms is needed to correctly stratify patients thus allowing meaningful studies of aura pathophysiology.


中文翻译:

偏头痛先兆期间的吞咽困难和其他较高的皮质功能障碍-文献综述。

审查目的

尽管视觉和躯体感觉障碍是最常见的偏头痛先兆(MA)症状,但患者在其MA期间还会出现其他症状。这篇综述的目的是提供报告MA期间吞咽困难和其他较高的皮质功能障碍(HCD)症状的研究概述,并确定HCD的发生频率。

最近的发现

五项研究符合纳入标准,总计697例患者。报告最频繁的HCD是语言组的HCD(范围为10–53%)。在MAs期间,注意到视觉HCD的发生在12-40位患者中,体感HCD的发生在12-20%中,而记忆障碍在10-22%的患者中发生。

概要

MA与多种神经系统症状有关,包括HCD症状。需要一种更好的HCD症状调查策略,以正确地对患者进行分层,从而使有意义的先兆病理生理学研究成为可能。
更新日期:2020-01-24
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