Transient Aphasia Associated with Migraine with Aura

Czech version

Authors: Mgr. Sádovská Miriam ¹; Mgr. Čiernik Kevická Viktória, PhD. ^2,3
Authors‘ workplace: Mgr. Miriam Sádovská, Logopédia Nitra, s. r. o., Poliklinika Klokočina, Hviezdoslavova trieda 1, 949 01 Nitra, Slovenská republika. E-mail: miriam. sadovska1@gmail. com. ¹; Mgr. Viktória Čiernik Kevická, PhD., Katedra logopédie, Pedagogická fakulta Univerzity Komenského v Bratislave, Pedagogická fakulta, Račianska 59, 813 34 Bratislava, Slovenská republika. ²; Ústav informatiky Slovenskej akadémie vied v. v. i., Dúbravská cesta 9, 845 07 Bratislava, Slovenská republika. ³
Published in: Listy klinické logopedie 2025; 9(2): 4-7
doi: https://doi.org/10.36833/lkl.2025.017

Overview

Migraine with aura represents a specific type of primary headache disorder, characterised by transient neurological symptoms that precede the headache phase. Among these symptoms, speech and/or language disturbances, including transient aphasia, may occur. This is particularly relevant from the perspective of speech-language pathology. Due to the clinical similarity to aphasia resulting from cerebrovascular accidents, accurate differential diagnosis is essential for appropriate therapeutic decisions. This paper highlights the pathophysiological mechanisms of migraine with aura, the manifestations of aphasia during its course, and specific diagnostic considerations. Included is a case report of a female patient presenting with recurrent episodes of aphasia as part of her migraine aura, alongside a speech-language evaluation providing a detailed analysis of her linguistic profile. The aim of this contribution is to emphasise the importance of interdisciplinary collaboration in the evaluation of language disorders and the differentiation of neurological aetiologies.

Keywords:

migraine with aura, transient aphasia, cortical depression (CSD), speech therapy, stroke, differential diagnosis, diagnosis of aphasia, alexia and agraphia, speech functions

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