Division of Neurology, University of Toronto, Toronto, Canada.
Sunnybrook Health Sciences Centre, A 455 - 2075 Bayview Ave, Toronto, ON, M4N 3M5, Canada.
Curr Neurol Neurosci Rep. 2021 May 11;21(7):35. doi: 10.1007/s11910-021-01122-1.
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.
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. 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.
本综述旨在总结过去 15 年有关视网膜偏头痛的文献和病例报告，视网膜偏头痛是一种不常见且尚未被充分认识的偏头痛变异型。
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，视网膜偏头痛似乎更常见于女性，表现为单侧头痛，且往往与视力丧失的同侧。发病机制可能与视网膜血管收缩有关，过去几年的发作期眼底摄影可证实这一点。视网膜偏头痛是一种罕见疾病，文献中描述的病例很少。视网膜偏头痛是一种排除性诊断，因为单眼视力丧失可能归因于几种需要紧急诊断和治疗的严重疾病，任何出现这种情况的患者都应进行彻底检查。患有视网膜偏头痛的患者似乎对典型的偏头痛发作治疗药物（包括 NSAIDs 和偏头痛预防药物）有反应。
