this post was submitted on 07 Jul 2024
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My wife doesn’t usually get visual auras but she becomes extremely tired and disoriented shortly before the pain starts. Is this caused by the same mechanism?
For fatigue, I'm not sure. Multiple things are happening that give rise to migraines. But fatigue is commonly reported by people before a migraine starts.
https://americanmigrainefoundation.org/resource-library/timeline-migraine-attack/
I've never had a migraine headache, but my wife gets them like three or four times a year, usually pieces by a visual aura (and sometimes if she just goes into a dark, quiet room, she only gets the aura). She always described it as an "electric caterpillar" crawling from the side. I was glad she had told me about it in detail because several years ago I got one, and that's the only reason I knew what was happening. Mine wasn't as colorful as what she described, but otherwise the same.
Here's a short video simulating one, and it's very similar to my experience (and, apparently, hers).