Scintillating scotoma: Difference between revisions
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[[File:Scintillating_scotoma_dazzle_camouflage.png|Scintillating scotoma dazzle camouflage|thumb]] [[File:aura_ss.jpg|aura ss|thumb | {{SI}} | ||
{{Infobox medical condition | |||
| name = Scintillating scotoma | |||
| image = [[File:ScintillatingScotoma3.jpg|left|thumb|alt=Scintillating scotoma|upright=1.2]] | |||
| caption = Visual representation of a scintillating scotoma | |||
| field = [[Neurology]] | |||
| symptoms = [[Visual aura]], [[zigzag]] patterns, [[blind spot]] | |||
| complications = [[Migraine]] | |||
| onset = Sudden | |||
| duration = Typically 20–30 minutes | |||
| causes = [[Cortical spreading depression]] | |||
| risks = [[Migraine]] history, [[stress]], [[hormonal changes]] | |||
| diagnosis = Clinical evaluation | |||
| differential = [[Retinal detachment]], [[ocular migraine]], [[transient ischemic attack]] | |||
| treatment = [[Rest]], [[dark room]], [[pain relief]] for associated migraine | |||
| frequency = Common in individuals with migraines | |||
}} | |||
[[File:Scintillating_scotoma_dazzle_camouflage.png|thumb|Scintillating scotoma dazzle camouflage|left|thumb]] [[File:aura_ss.jpg|left|thumb|aura ss|left|thumb]] [[File:Fortbourtange.jpg|left|thumb|Fortbourtange|left|thumb]] [[File:Scintillating_scotoma_-_play.jpg|left|thumb|Scintillating scotoma - play|left|thumb]] | |||
[[File:Scintillating_zigzag_scotoma.gif|thumb|Scintillating zigzag scotoma|left|thumb]] [[File:Scintillating_scotoma.gif|thumb|Scintillating scotoma|left|thumb]] | |||
'''Scintillating scotoma''' is a visual phenomenon that is often associated with [[migraine]] headaches but can occur independently. It is characterized by a temporary, partial [[Visual field|field of vision]] disturbance that usually affects both eyes. Individuals experiencing a scintillating scotoma may see flickering or shimmering lights, [[Blind spot|blind spots]], or geometric patterns, often with a zigzag border that can expand and move across the field of vision. This phenomenon typically precedes the headache phase of a migraine in what is known as the [[Aura (symptom)|aura]] phase, although it can also occur without any subsequent headache. | |||
==Causes and Mechanisms== | ==Causes and Mechanisms== | ||
The exact cause of scintillating scotoma is not fully understood, but it is believed to be related to a wave of electrical activity that sweeps across the [[Brain|brain]], specifically the [[Cerebral cortex|cerebral cortex]], which is responsible for processing visual signals. This phenomenon is known as [[Cortical spreading depression]]. It temporarily alters neural activity and blood flow in the brain, leading to the visual disturbances characteristic of scintillating scotoma. | The exact cause of scintillating scotoma is not fully understood, but it is believed to be related to a wave of electrical activity that sweeps across the [[Brain|brain]], specifically the [[Cerebral cortex|cerebral cortex]], which is responsible for processing visual signals. This phenomenon is known as [[Cortical spreading depression]]. It temporarily alters neural activity and blood flow in the brain, leading to the visual disturbances characteristic of scintillating scotoma. | ||
==Symptoms== | ==Symptoms== | ||
Symptoms of scintillating scotoma include: | Symptoms of scintillating scotoma include: | ||
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* A blind spot or partial loss of vision that typically lasts less than an hour | * A blind spot or partial loss of vision that typically lasts less than an hour | ||
* Headache, which may follow the visual symptoms, although not always | * Headache, which may follow the visual symptoms, although not always | ||
==Diagnosis== | ==Diagnosis== | ||
Diagnosis of scintillating scotoma primarily involves a detailed medical history and a physical examination. Healthcare providers may also perform a [[Eye examination|comprehensive eye examination]] to rule out other potential causes of visual disturbances. In some cases, further testing, such as [[Magnetic resonance imaging|MRI]] scans, may be conducted to exclude neurological conditions. | Diagnosis of scintillating scotoma primarily involves a detailed medical history and a physical examination. Healthcare providers may also perform a [[Eye examination|comprehensive eye examination]] to rule out other potential causes of visual disturbances. In some cases, further testing, such as [[Magnetic resonance imaging|MRI]] scans, may be conducted to exclude neurological conditions. | ||
==Treatment== | ==Treatment== | ||
There is no specific treatment for scintillating scotoma. Management strategies focus on treating the underlying migraine condition, if present, and may include medications to relieve migraine symptoms or prevent migraine attacks. For individuals who experience scintillating scotoma without subsequent migraines, lifestyle modifications and avoiding known migraine triggers may be recommended to reduce the frequency of episodes. | There is no specific treatment for scintillating scotoma. Management strategies focus on treating the underlying migraine condition, if present, and may include medications to relieve migraine symptoms or prevent migraine attacks. For individuals who experience scintillating scotoma without subsequent migraines, lifestyle modifications and avoiding known migraine triggers may be recommended to reduce the frequency of episodes. | ||
==Prevention== | ==Prevention== | ||
Preventive measures for scintillating scotoma involve identifying and avoiding personal migraine triggers, which may include stress, certain foods, or changes in weather. Regular exercise, adequate sleep, and maintaining a healthy diet can also help reduce the frequency of migraine attacks and associated visual disturbances. | Preventive measures for scintillating scotoma involve identifying and avoiding personal migraine triggers, which may include stress, certain foods, or changes in weather. Regular exercise, adequate sleep, and maintaining a healthy diet can also help reduce the frequency of migraine attacks and associated visual disturbances. | ||
[[Category:Neurology]] | [[Category:Neurology]] | ||
[[Category:Ophthalmology]] | [[Category:Ophthalmology]] | ||
[[Category:Symptoms and signs: Nervous system]] | [[Category:Symptoms and signs: Nervous system]] | ||
{{medicine-stub}} | {{medicine-stub}} | ||
Latest revision as of 12:08, 14 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Scintillating scotoma | |
|---|---|
 | |
| Synonyms | N/A |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Visual aura, zigzag patterns, blind spot |
| Complications | Migraine |
| Onset | Sudden |
| Duration | Typically 20–30 minutes |
| Types | N/A |
| Causes | Cortical spreading depression |
| Risks | Migraine history, stress, hormonal changes |
| Diagnosis | Clinical evaluation |
| Differential diagnosis | Retinal detachment, ocular migraine, transient ischemic attack |
| Prevention | N/A |
| Treatment | Rest, dark room, pain relief for associated migraine |
| Medication | N/A |
| Prognosis | N/A |
| Frequency | Common in individuals with migraines |
| Deaths | N/A |
Scintillating scotoma is a visual phenomenon that is often associated with migraine headaches but can occur independently. It is characterized by a temporary, partial field of vision disturbance that usually affects both eyes. Individuals experiencing a scintillating scotoma may see flickering or shimmering lights, blind spots, or geometric patterns, often with a zigzag border that can expand and move across the field of vision. This phenomenon typically precedes the headache phase of a migraine in what is known as the aura phase, although it can also occur without any subsequent headache.
Causes and Mechanisms[edit]
The exact cause of scintillating scotoma is not fully understood, but it is believed to be related to a wave of electrical activity that sweeps across the brain, specifically the cerebral cortex, which is responsible for processing visual signals. This phenomenon is known as Cortical spreading depression. It temporarily alters neural activity and blood flow in the brain, leading to the visual disturbances characteristic of scintillating scotoma.
Symptoms[edit]
Symptoms of scintillating scotoma include:
- Visual disturbances that appear as flickering or shimmering lights
- Zigzag patterns that may expand and move across the field of vision
- A blind spot or partial loss of vision that typically lasts less than an hour
- Headache, which may follow the visual symptoms, although not always
Diagnosis[edit]
Diagnosis of scintillating scotoma primarily involves a detailed medical history and a physical examination. Healthcare providers may also perform a comprehensive eye examination to rule out other potential causes of visual disturbances. In some cases, further testing, such as MRI scans, may be conducted to exclude neurological conditions.
Treatment[edit]
There is no specific treatment for scintillating scotoma. Management strategies focus on treating the underlying migraine condition, if present, and may include medications to relieve migraine symptoms or prevent migraine attacks. For individuals who experience scintillating scotoma without subsequent migraines, lifestyle modifications and avoiding known migraine triggers may be recommended to reduce the frequency of episodes.
Prevention[edit]
Preventive measures for scintillating scotoma involve identifying and avoiding personal migraine triggers, which may include stress, certain foods, or changes in weather. Regular exercise, adequate sleep, and maintaining a healthy diet can also help reduce the frequency of migraine attacks and associated visual disturbances.
