What Are Painless Migraine Episodes?

Obicn Anna Hart

Most people think of a migraine as excruciating pain, but a migraine episode is far more than pain. Migraines typically have four stages: pre-headache, aura, headache, and post-headache. Millions of people globally suffer from these full-blown, 4-stage migraines - but a minority experience painless episodes. So what are painless migraine episodes?

Technically, there is no such thing as a painless migraine. That is, if you go by the International Headache Society's (IHS) Guidelines for diagnosis and classification of headache disorders. Yet your physician may tell you that yours is a painless migraine. He or she may call it a painless, optical migraine.

What are painless migraine episodes?

The answer is in the question. A painless migraine is a migraine episode that begins with the typical pre-headache stage, progresses to the aura phase of a migraine attack, and then stops short. It skips the headache phase - the pain.

If you have a painless migraine, you have the visual symptoms of the aura and other symptoms of a migraine without the headache. Such a migraine would usually be termed a migraine with aura. A physician following the IHS guidelines would describe it as "acephalgic" - meaning "without headache."

Pre-headache - Phase #1

The pre-headache phase is sometimes referred to as the prodrome. This is where your painless migraine episode begins. You may enter this stage hours or even days before what would normally be recognized as a migraine episode.

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