Acephalgic Migraine


This type of migraine is sometimes difficult to diagnose because the debilitating head pain that is often the hallmark of migraine attacks is absent. Women suffer from this type of migraine more often than men. It is also seen in children and sometimes, it tends to run in families.

Older adults most commonly suffer from this type of migraine. It occurs most often in people who complained of migraines with head pain during their younger years.

Other names for acephalgic migraine.

Migraine aura without headache is the most common way doctors describe this type of migraine currently.

Symptoms of acephalgic migraine

  • Vision changes
  • Vertigo
  • Auditory symptoms
  • Migraine aura
  • Symptoms usually build over 10 to 20 minutes
  • Episodes last about an hour
  • Episodes may occur in a flurry with several happening over a week or so

Treatment of acephalgic migraine

Typically acephalgic migraine or migraine aura without headache is not a frequent occurrence. Often they require no treatment and last only a short period of time. Just as with other types of migraine, this type of migraine is diagnosed after other possible causes of the symptoms have been ruled out.


Do you ever experience acephalgic or "silent" migraine? (migraine without the headache phase)