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October2013 Vol.50 Issue:        4        Table of Contents
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Profile of Migraine Aura among Children: A Clinical and Electroencephalographic Study

El-Sayed M. Tag-El-Din, Ehab S. Mohamed, Ehab A. El-Seidy, Hazem A. Fayed

Department of Neurology, Tanta University; Egypt


Background: Migraines with aura account for less than 20% of all migraines. A migraine with aura comes with additional symptoms, which often begin about 30 minutes or less before the headache. Objective: To verify the different aspects of the aura among children both clinically and electroencephalographically. Methods: Forty-nine children complained from migraine with aura were subjected to structured questionnaire, physical and neurological examinations, and laboratory tests. In addition, they were subjected to electroencephalography (EEG) within 6 hours of aura attack and 3 days later. Results: Visual auras were the most frequent one 73.5% followed by sensory auras 32.6%, motor 14.2%,speech 8.1% and others . Visual auras were associated with other types of auras in 61.1% of children. Among the 36 children presented with visual auras, (80.6%) children had auras lasted less than 30 minutes. The sensory auras were detected in 16 children. Association of sensory and motor aura occurred in 12.5% of children who also had prolonged aura more than 30 minutes. Among the 7 children presented with motor auras, 5 (71.4%) had this in association with both visual and sensory auras. Most of motor auras (71.4%) lasted more than 30 minutes. Speech auras occurred in four children, 3 (75) had the form of dysarthria while paraphasia was dominated in one patient (25%).EEG results showed abnormal findings in 9 (18.3%) children during headache free periods. These findings increase significantly during auras attacks, P>0.05. Conclusions: Migraine auras among children have a broad clinical spectrum. [Egypt J Neurol Psychiat Neurosurg.  2013; 50(4): 425-429]

Key Words: children, migraine aura, clinical profile, EEG.

Correspondence to Ehab S. Mohammed, Department of Neurology, Tanta University, Egypt.Tel: +0201144656670    e-mail:

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