Migraine Trail

Sensory aura spreads slowly; a stroke is usually maximal at onset. That difference is the most useful thing to know — and the least safe to rely on alone.

Aural fullness is a documented feature of migraine attacks, reported by a quarter to a third of people. It is a common reason for repeated, unhelpful ear examinations.

Fatigue is the single most commonly reported premonitory symptom of migraine — and one of the most common afterwards. It brackets the attack at both ends.

Cognitive symptoms rank second only to pain in how disabling people find a migraine attack. The word-finding difficulty is measurable, documented, and reversible.

Insufficient response to triptans affects a substantial minority of people, and it is a recognised clinical category with defined next steps. Here is the data that makes that conversation productive.