Can You Have A Migraine Without Aura?

It isn’t true that a migraine with the aura phenomenon is the only real kind of migraine. In fact, the majority of people who suffer from this illness experience the migraine without aura. Perhaps eighty to eighty-five percent of people with migraines do not have the extra visual and neurological symptoms, but experience what is considered a “simple” migraine. But of course this, too, is really a misnomer, because even without those extra symptoms, these severe headaches are anything but simple.

It’s possible that the view of migraines as always having an accompanying visual aura is perpetuated by non-migraine sufferers, not because they’re trying to push migraine myths but perhaps because they’re not sure what else would differentiate this type of headache from the normal run-of-the-mill type. The aura is an exotic feature that might seem to justify these headaches having a classification all their own. But a migraine without the aura is in fact the much more common version. And rather than being redefined as though it’s just one of the other more ordinary types of headaches, this type still has plenty of symptoms identifying it as a genuine migraine.

Migraine research shows that the underlying cause of all migraine symptoms is a genetically-based disease that is sometimes triggered to make a person’s nerves extremely sensitive. This means that they can have all sorts of symptoms that might appear unrelated, like excessive urination, sensitivity to light and smells, sweet or salty food cravings, and many other things. The effects associated with the aura are another manifestation of this over-sensitivity. So a migraine without aura is no less a serious migraine than one that does have it.

There is another primary symptom that differentiates these from more ordinary headaches. Migraines tend to be headaches on one side of the head rather than those located more generally. These start on one side, focusing mostly around the temple. They can sometimes spread, perhaps locating themselves around the eyes at the back of the head, but the majority start on one side or the other, not always the same side each time, before they move. This is common to almost all migraines, and the pain can be quite severe. So the sufferers of migraine without aura may actually have cause to be grateful that they don’t have the aura symptom along with everything else they have to deal with.

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