Rau H, Vetterli A
Arch Psychiatr Nervenkr (1970). 1978 Aug 22;225(4):325-32. doi: 10.1007/BF00343304.
The migraine without headaches is a special form of focal migraine, a migraine accompagnée without headaches. The diagnostic classification of the transient focal disturbances is made possible by careful analysis of the attacks. This type of attack starts in a localized manner (primarily in the ophthalmic area), develops corresponding to the cortical representation, and is not always restricted to one vascular area. Typical is the slow spread of symptoms over a period of ten minutes, on the average. This allows a differentiation from transient ischemic attacks or focal epilepsy. The diagnosis is supported by hereditary factors, early onset of manifestation and change of the side of focal symptoms (in 11 of 16 patients). Of 409 migraine patients, 16 were such cases, corresponding to an occurrence of 4%. There were no signs of symptomatic etiology for these transient focal disturbances.
无头痛性偏头痛是局灶性偏头痛的一种特殊形式，即一种无头痛的伴偏头痛。通过对发作进行仔细分析，可实现对短暂局灶性障碍的诊断分类。这种发作以局部方式开始（主要在眼部区域），根据皮质表现发展，且并不总是局限于一个血管区域。典型情况是症状平均在十分钟内缓慢扩散。这有助于与短暂性脑缺血发作或局灶性癫痫相鉴别。遗传因素、发病早以及局灶症状部位改变（16例患者中有11例）支持该诊断。在409例偏头痛患者中，有16例为此类病例，发生率为4%。这些短暂局灶性障碍没有症状性病因的迹象。
