Hartford HealthCare Headache Center, Ayer Neuroscience Institute, West Hartford, CT, United States; Department of Neurology, University of Connecticut, Farmington, CT, United States.
Hartford HealthCare Headache Center, Ayer Neuroscience Institute, West Hartford, CT, United States.
Handb Clin Neurol. 2024;199:381-387. doi: 10.1016/B978-0-12-823357-3.00012-4.
Retinal migraine is usually characterized by attacks of fully reversible monocular visual loss associated with migraine headache. Retinal migraine is most common in women of child-bearing age who have a history of migraine with aura. In the typical attack, monocular visual features consist of partial or complete visual loss lasting less than 1h. Although the current diagnostic criteria for retinal migraine require fully reversible visual loss, our findings suggest that irreversible visual loss is part of the retinal migraine spectrum. Nearly half of reported cases with recurrent transient monocular visual loss subsequently experienced permanent monocular visual loss.
视网膜偏头痛通常表现为偏头痛发作相关的完全可逆性单眼视力丧失。视网膜偏头痛最常见于有先兆偏头痛病史的育龄期妇女。在典型发作中，单眼视觉特征包括部分或完全视力丧失，持续时间少于 1 小时。尽管目前视网膜偏头痛的诊断标准要求视觉丧失完全可逆，但我们的研究结果表明，不可逆性视觉丧失是视网膜偏头痛谱的一部分。近一半报告的复发性短暂性单眼视力丧失病例随后出现永久性单眼视力丧失。
