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In this article, the authors describe the clinical presentation of retinal migraine on the basis of 46 case histories: 6 from the authors’ clinical experience and 40 from the literature. The literature cases include one that we reported from our practice: a case of migraine with prolonged aura, homonymous in nature rather than monocular (Headache 2002; 42:326).
Among all 46 cases, the visual symptoms had a fixed lateralization, which was contralateral to the headache less than 5% of the time. Almost half of the patients later developed permanent monocular visual loss. All of this is highly unusual for migraine, in which the symptoms typically alternate (although one side can predominate), occur contralaterally to the headache (although ipsil…