"Sound attacks": a case report of migraine with hearing aura


  • Antonio Marcos da Silva Catharino UNIVERSIDADE IGUAÇU / HOSPITAL GERAL DE NOVA IGUAÇU https://orcid.org/0000-0002-5736-1486
  • Marco Antonio Orsini Neves Universidade Iguaçu, Semiologia Médica\Neurologia, Nova Iguaçu, Rio de Janeiro, Brazil https://orcid.org/0000-0002-8526-6937
  • Nicolle dos Santos Moraes Nunes Universidade Iguaçu, Graduanda em Medicina, Nova Iguaçu, Rio de Janeiro, Brazil https://orcid.org/0000-0003-0336-2261
  • Jacqueline Stephanie Fernandes Nascimento Universidade Iguaçu, Nova Iguaçu, Rio de Janeiro, Brazil https://orcid.org/0000-0003-1847-3829
  • Janie Kelly Fernandes Nascimento Universidade Iguaçu, Nova Iguaçu, Rio de Janeiro, Brazil
  • Gilberto Canedo Martins Jr Universidade Iguaçu, Semiologia Médica\Neurologia, Nova Iguaçu, Rio de Janeiro, Brazil https://orcid.org/0000-0002-8181-7930




Headache, Migraine with Aura, Migraine Disorders, Pain


Migraine with aura is less frequent than the subtype form without aura. Normally, auras are typically manifested visual symptoms, but it is possible to have an auditory and olfactory complains as aura symptomatology.
Case report
An 8-year-old boy with family cases of migraine, complained of auditory hallucination episodes, since he was 5 years-old, with a duration of 10 to 20 minutes, followed by cure with intense photophobia and nausea. He called these episodes as "sound attacks". The frequency of the crises ranges from 4 to 5 episodes per month, with the maximum of 11 episodes in one month.
Neurological examination was normal. He performed angio-MRI of skull and EEG, without any changes. Treatment was initiated with 250 mg sodium divalproate at night with reduction of events, already in the first month, for 2 to 3 episodes per month. The medication was adjusted for 500 mg of sodium divalproate with a good result, not presenting new episodes in the last 2 months.
We report a case of migraine crises preceded by auditory aura, in a boy of 8 years. This is a rare and extremely interesting presentation of migraine, with great improvement after the prophylactic treatment.


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How to Cite

Catharino AM da S, Neves MAO, Nunes N dos SM, Nascimento JSF, Nascimento JKF, Martins Jr GC. "Sound attacks": a case report of migraine with hearing aura. HM [Internet]. 2021 Mar. 31 [cited 2021 Sep. 26];:52-4. Available from: https://headachemedicine.com.br/index.php/hm/article/view/424



Case Report

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