Purpose of Review

This review aims to summarize the last 15 years of literature and case reports detailing retinal migraine—an uncommon and somewhat poorly understood migraine variant.

Recent Findings

In the last 15 years, only 12 cases of retinal migraine have been outlined. Similar to other migraine statistics, retinal migraine appears to affect women more so than men and presents with unilateral headache which tends to be ipsilateral to the side of vision loss. The pathophysiology may relate to vasoconstriction of retinal vessels, as evidenced by ictal fundus photography in the past few years.

Summary

Retinal migraine is a rare entity, with a paucity of described cases in the literature. Retinal migraine is a diagnosis of exclusion, as monocular vision loss might be ascribed to several concerning disorders requiring urgent diagnosis and treatment, and any patient presenting as such should be thoroughly investigated. Patients suffering from retinal migraine appear to respond to typical migraine abortive therapies including NSAIDs and migraine prophylactic medications.

中文翻译：

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视网膜偏头痛：评估和管理

审查目的

这篇综述旨在总结最近15年的文献和病例报告，详细介绍视网膜偏头痛-一种不常见且了解程度不高的偏头痛变体。

最近的发现

在过去的15年中，仅概述了12例视网膜偏头痛。与其他偏头痛统计数据相似，视网膜偏头痛对女性的影响似乎大于男性，并且表现为单侧头痛，往往与视力丧失同侧。病理生理可能与视网膜血管的血管收缩有关，如过去几年的眼底眼摄影所证明的。

概括

视网膜偏头痛是一种罕见的实体，文献中描述的病例很少。视网膜偏头痛是一种排除性诊断，因为单眼视力下降可能归因于一些需要紧急诊断和治疗的疾病，因此，任何出现这种情况的患者都应进行彻底调查。患有视网膜偏头痛的患者似乎对典型的偏头痛流产疗法（包括NSAID和偏头痛预防药物）有反应。