When we think of migraines, we instantly imagine intense, throbbing headaches. But did you know that silent migraines—also called acephalgic migraines—can occur without any pain at all? They are often misunderstood and misdiagnosed because the usual hallmark, a headache, is absent. Instead, they come with other symptoms that can be confusing or even alarming.
Here are 10 signs to watch out for:-
1. Visual Disturbances
Flashes of light, zigzag patterns, blurred vision, or blind spots (known as aura) can appear suddenly and last for minutes. These visual changes often signal the onset of a silent migraine.
2. Sensitivity to Light
Bright lights may feel harsh or uncomfortable, making it difficult to be in well-lit environments. This light sensitivity can last throughout the migraine episode.
3. Dizziness or Vertigo
Some people experience a spinning sensation or feel unsteady on their feet. This can be mistaken for an inner ear problem but might actually be a silent migraine symptom.
4. Nausea or Vomiting
Even without a headache, silent migraines can trigger digestive discomfort, ranging from mild nausea to severe vomiting.
5. Tingling or Numbness
A tingling sensation or numbness in the face, arms, or legs may occur, usually on one side of the body. This is linked to nerve involvement during the migraine episode.
6. Difficulty Speaking
Some people temporarily struggle to form words or speak clearly, a condition known as transient aphasia. This can be scary but usually resolves once the migraine passes.
7. Hearing Changes
Ringing in the ears (tinnitus) or muffled sounds may appear during a silent migraine, further adding to sensory discomfort.
8. Fatigue or Weakness
A silent migraine can leave you feeling unusually tired or drained, even without experiencing head pain. This fatigue may linger for hours or days.
9. Mood Changes
Irritability, sudden sadness, or anxiety may surface during an episode due to the brain’s chemical changes during a migraine attack.
10. Confusion or Brain Fog
Some people report difficulty focusing, remembering things, or processing information—commonly referred to as “brain fog.”
Silent migraines may not cause head pain, but they can still disrupt daily life. Recognising the signs—especially visual changes, dizziness, or unusual sensations—can help you seek timely treatment and prevent future episodes.
(This article is meant for informational purposes only and must not be considered a substitute for advice provided by qualified medical professionals.)