Patient selection: migraine with aura
Parameters:
(1) involvement of the upper limb and head
(2) primary and somatosensory cortices
(3) higher cortical dysfunction (HCD)related to the occipital lobe (V-HCDs, micropsia, macropsia, dysmorphia, fractured vision, prosopagnosia)
(4) higher cortical dysfunction (HCD) related to the parietal lobe (S-HCDs, astereognosis, dyspraxia, unawareness of own body parts)
(5) dysphasic and memory disturbances (D-HCDs; Broca's dysphasia, Wernicke's dysphasia, dyslexia, difficulties in remembering or recalling events, recalling names, calculating numbers, memorizing numbers)
|
Parameter
|
Finding
|
Points
|
|
involvement of upper limb
|
no
|
0
|
|
|
yes
|
1
|
|
involvement of head
|
no
|
0
|
|
|
yes
|
1
|
|
significant involvement of visual cortex
|
no
|
0
|
|
|
yes (more than a hemifield)
|
1
|
|
significant involvement of somatosensory cortex
|
no
|
0
|
|
|
yes (all body regions)
|
1
|
|
HCDs occipital cortex
|
0
|
0
|
|
|
>= 1
|
1
|
|
HCDs parietal lobe
|
0
|
0
|
|
|
>= 1
|
2
|
|
dysphasic and memory disturbances
|
no
|
0
|
|
|
yes
|
2
|
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 9
