The scintillating scotoma without headache.

Scintillating scotomas are frequently seen without an associated headache and in general should be considered a benign symptom. In this series of 10 patients with an age range from 25 to 72 years, there were 7 female and 3 male patients. With an average follow-up of 1 1/2 years there was no patient who subsequently developed migraine headaches or any persisting neurologic sequelae.