With or without an aura ? That's the question.
Classic migraine - migraine with aura
The classic migraine headache is frequently heralded by a sensory premonition or "aura" before the actual headache. Only about 10% of migraine headaches are accompanied by an aura. The aura may be an unusual smell or taste, flickering lights in an eye, tingling of the face, or other warning. This aura may last seconds to minutes. This is usually followed by an intense headache that may last minutes to days. The headache is often one-sided (unilateral), pounding or throbbing and very distracting, if not incapacitating.
The migraine may be accompanied by nausea and vomiting, sensitivity to light (photophobia) or to noise (hyperacusis). Other symptoms may include loss of vision or speech, confusion, flashing lights, temporary partial paralysis or loss of sensation/feeling. Because of their intensity and associated symptoms that could distract a pilot or controller from full attention to aviation duties, classic migraines that are not preventable are usually disqualifying for medical certification. At times, an avoidable provoking cause may be discovered such as a food (MSG in Chinese food is common), flashing lights, medications, or even intercourse.
