Amaurosis fugax and persistent migraine aura without infarction in a pregnant woman: A challenging presentation


Authors

  • Jorge Andrés Hurtado Mayor Universidad de Caldas https://orcid.org/0000-0003-2433-3937
  • Nathalia Fernández Gómez Corporación Universitaria Remington, Medellín https://orcid.org/0009-0006-7640-5815
  • Rosa Helena Morales Benítez Corporación Universitaria Remington, Medellín
  • Juliana Vélez Tamayo Universidad de Caldas
  • Andrés Felipe Erazo Narváez Universidad de Caldas

DOI:

https://doi.org/10.22517/25395203.25732

Keywords:

Amaurosis fugax, migraine with prolonged aura, case report, central nervous system diseases, neuroimaging

Abstract

Introduction: Amaurosis, the partial or total loss of vision, can be associated with migraine, a condition common in women of reproductive age. During pregnancy, hormonal changes may exacerbate migraine. This report describes a case of migraine with persistent aura without infarction associated with transient amaurosis in a pregnant woman, detailing her diagnosis, treatment, and follow-up.

Case Presentation: A 29-year-old multigravida patient with a history of migraine with aura, at 20 weeks and 4 days of pregnancy, presented with intense headache and acute loss of vision. Evaluations showed variable blood pressure readings and nonspecific findings on magnetic resonance imaging and tomography, with no evidence of infarction. She was evaluated by several specialists, and preeclampsia/eclampsia was ruled out. She was diagnosed with migraine with persistent aura without infarction and was treated with amitriptyline and cyclobenzaprine, in addition to physical therapy.

Discussion: The differential diagnosis in pregnant women with sudden loss of vision includes preeclampsia, eclampsia, and other neurovascular conditions. Migraine with persistent aura without infarction, although rare, can present neurological symptoms that mimic severe pathologies, highlighting the importance of a broad diagnostic approach.

Conclusion: It is important to consider migraine with persistent aura without infarction in the differential diagnosis to avoid delays in treatment and complications.

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Published

2025-06-05

How to Cite

Hurtado Mayor, J. A., Fernández Gómez, N., Morales Benítez, R. H., Vélez Tamayo, J., & Erazo Narváez, A. F. (2025). Amaurosis fugax and persistent migraine aura without infarction in a pregnant woman: A challenging presentation. Revista Médica De Risaralda, 31(1), 167–176. https://doi.org/10.22517/25395203.25732

Issue

Vol. 31 No. 1 (2025): Enero-junio 2025

Section

Case report

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