title: Features of migraine aura in teenagers.
abstract: BACKGROUND
  Complex migraine aura in teenagers can be complicated to diagnose. The aim of this study was to present detailed features of migraine aura in teenage migraineurs.
  
  
  METHODS
  This cross-sectional study was conducted in the period from 2008 till 2013. A total number of 40 teenage migraineurs (20 females and 20 males) met criteria for this study. The patients were interviewed using a specially designed questionnaire for collecting data about migraine aura features. Main outcome measures were frequency of visual, somatosensory and higher cortical dysfunction (HCD) symptoms in teenage migraineurs population during the aura, and also within each individual.
  
  
  RESULTS
  Visual aura was reported in every attack, followed by somatosensory (60%) and dysphasic (36.4%) aura. Scintillating scotoma and blurry vision were mostly reported and predominant visual symptoms. The most common somatosensory symptom was numbness in hand. HCD were reported by 22 (55%) patients. Slowed speech was mostly reported symptom of HCD, followed by dyslexia, déjà vu phenomenon, color dysgnosia, and dyspraxia. In patients with HCD, aura frequency per year (6.18 ± 3.17 vs. 3.33 ± 2.03, p = 0.003) and prevalence of somatosensory symptoms (77.3% vs. 38.9%, p = 0.014) were significantly higher than in patients without HCD.
  
  
  CONCLUSIONS
  Aura symptoms vary to a great extent in complexity in teenage migraineurs. Consequently, results obtained in this study provide useful information for clinicians when faced with unusual migraine aura.
authors.affiliation: Faculty of Medicine, University of Belgrade, Doktora Subotica 8, 11000 Belgrade, Serbia. ip7med@yahoo.com.
authors.forename: Igor
authors.initials: I
authors.lastname: Petrusic
authors.forename: Vera
authors.initials: V
authors.lastname: Pavlovski
authors.forename: Dragana
authors.initials: D
authors.lastname: Vucinic
authors.forename: Jasna
authors.initials: J
authors.lastname: Jancic
mesh_terms: D000293:Adolescent; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D020325:Migraine with Aura / Q000175:diagnosis*; D011795:Surveys and Questionnaires; D063189:Symptom Assessment; D055815:Young Adult