In the second type, migraine with aura, the attacks are preceded by neurological symptoms called aura -- visual, sensory, speech or motor impairments like tingling sensations, blurred vision or seeing spots.
Common to all cases: never typical (hemianoptic) visual aura, sensory, speech or motor aura; accompanying headache is of mild intensity, in 2 cases not migrainous; in 2 cases aspirin had no effect on migraine.
Five days later, motor and sensory speech deficits reoccurred.
NIHSS is used to assess initial impairment, including motor and sensory function, speech and language.
This is due to the need to stim (fidgeting often used for entertainment or self soothing), sensory difficulties, speech difficulties, discomfort with eye contact, body language that seemingly contradicts their statements, etcetera.
Aura is defined as attacks of reversible focal neurological symptoms (visual, sensory and/or speech symptoms) that last more than 5 min and no longer than 1 h.
Particular presentations of migraine aura include hemiplegic migraine, in which aura consists of fully reversible motor weakness together with visual, sensory or speech disturbances, and basilar type migraine (BTM).
Aura is reversible neurological disturbances of the vision, sensory and/or speech function, occurring prior to the headache.
A recent Australian Bureau of Statistics report showed that of those older persons living in care facilities, 97% had some form of disability, and of these, 91% had a physical disability, 72% sensory or speech disabilities, 57% psychological disabilities and 31% had disabilities related to head injury, stroke or brain damage [ 2].
While some of the patients had relatively selective comprehension deficits (and thus presented with a pattern of 'transcortical sensory aphasia'), speech fluency and repetition scores were not used as selection criteria and therefore patients within the group had variable language deficits affecting these domains.
It can be used for mapping of the functional brain anatomy, which for motor- sensory- and speech areas have been widely used in neurosurgical decision-making [ 6].
