Quiz Form

Question Date: 28/08/2023

Question: Which statement is true regarding migraine with aura?

Options:

• Migraine with aura is more common in women
• Aura may come with headache but never after it
• Cortical spreading depression has been shown to cause aura in humans
• Migraine with aura shows association with patent foramen ovale and estrogens

Correct Answer: Migraine with aura shows association with patent foramen ovale and estrogens

Explaination: The prevalence of migraine with aura is same in men and women. Estrogens are associated with migraine with aura as seen with use of combined oral contraceptive pills. Aura precedes or may come with headache and sometimes follows the headache. There is an association between migraine with aura and patent foramen ovale, especially large PFO with right to left shunt. While cortical spreading depression is widely accepted as the cause of aura and demonstrated in animal models, it has not been demonstrated with migraine aura in humans.

Reference: Charles A. The Migraine Aura. Continuum 201824(4 Headache)1009-1022.