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Case report
Paediatric migraine with visual hallucination auras appearing in the form of a human body
  1. Osamu Akiyama1,2,
  2. Akihide Kondo1 and
  3. Iwao Akiyama2
  1. 1 Department of Neurosurgery, Juntendo University, Tokyo, Japan
  2. 2 Akiyama Neuro Surgery Clinic, Yamanashi, Japan
  1. Correspondence to Dr Osamu Akiyama; akiyamao{at}


The most common type of migraine aura is multifaceted visual aura, such as scintillating scotoma or geometrical patterns, visual hallucinations in which a physical body is extremely rare. We report a paediatric case of migraine in which visual hallucinations appeared as auras in the form of a human body. The patient was an 11-year-old girl suffering from migraine with curious visual aura. The auras were atypical visual hallucinations that were sometimes accompanied by auditory hallucinations. Approximately 5–20 min before the headache, the patient would see a middle-aged man wearing sunglasses in her field of vision. Acetaminophen (10 mg/kg) and Japanese herbal medicine administered when necessary effectively treated the headaches. Finally, the patient was no longer complaining of her hallucination auras. Although the pathophysiology of migraines accompanied by auras is unclear, it appears that cerebral blood flow and cortical spreading depression are involved in auras.

  • paediatrics
  • neurology
  • headache (including migraines)
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  • Contributors OA: planning, concept and writing. AK: planning and writing. AK and IA: final corrections, proof reading and interpretation.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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