Vestibular Migraine with Visual Aura and Olfactory Hallucination in Children: Two Case Reports

Abstract

Background Approximately 3.9% children with migraine have olfactory hallucination which was defined as a perception of a smell without the substantial existence of any physical odor.

Case We described the first two cases of children with vestibular migraine, presenting visual aura and olfactory hallucination. ​ We reported two children with vertigo, visual aura, and olfactory hallucination before the headache who were responsive to topiramate.

Conclusion The clinical description of olfactory hallucination presented some characteristics of migraine aura. Olfactory hallucinations could be inserted as a migraine aura in International Classification of Headache Disorders.

Keywords

vestibular migraine - olfactory hallucinations - visual aura - children

Author's Contribution

L.M.A. and T.R.V. contributed to the design of the research and in preparing the manuscript. T.R.V. was the doctor responsible for the patients.

• References

• 1 Brandt T, Strupp M. Migraine and vertigo: classification, clinical features, and special treatment considerations. Headache Curr 2006; 3 (01) 12-19
• 2 Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia 2013; 33 (09) 629-808
• 3 Stovner Lj, Hagen K, Jensen R. , et al. The global burden of headache: a documentation of headache prevalence and disability worldwide. Cephalalgia 2007; 27 (03) 193-210
• 4 Mainardi F, Rapoport A, Zanchin G, Maggioni F. Scent of aura? Clinical features of olfactory hallucinations during a migraine attack (OHM). Cephalalgia 2017; 37 (02) 154-160
• 5 Demarquay G, Créac'h C, Peyron R. Olfactory hallucinations in primary headache disorders: case series and literature review. A comment. Cephalalgia 2012; 32 (07) 583-584
• 6 Ahmed MAS, Donaldson S, Akor F, Cahill D, Akilani R. Olfactory hallucination in childhood primary headaches: case series. Cephalalgia 2015; 35 (03) 234-239
• 7 Neuhauser HK, von Brevern M, Radtke A. , et al. Epidemiology of vestibular vertigo: a neurotologic survey of the general population. Neurology 2005; 65 (06) 898-904
• 8 Savundra PA, Carroll JD, Davies RA, Luxon LM. Migraine-associated vertigo. Cephalalgia 1997; 17 (04) 505-510 , discussion 487
• 9 Cha YH, Lee H, Santell LS, Baloh RW. Association of benign recurrent vertigo and migraine in 208 patients. Cephalalgia 2009; 29 (05) 550-555
• 10 Benemei S, Eleonora R, Geppetti P. Trigeminal nerve and phantosmia in primary headaches. Cephalalgia 2012; 32 (01) 85
• 11 Henkin RI, Potolicchio SJ, Levy LM. Olfactory hallucinations without clinical motor activity: a comparison of unirhinal with birhinal phantosmia. Brain Sci 2013; 3 (04) 1483-1553
• 12 Obermann M, Wurthmann S, Steinberg BS, Theysohn N, Diener HC, Naegel S. Central vestibular system modulation in vestibular migraine. Cephalalgia 2014; 34 (13) 1053-1061