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Dear Tami, thank you for the follow up. When you first posted in December 14, 2007, I expressed a suspected diagnosis of "possible persistent aura without infarction" with a MAS score of 0. The further course well agrees with this suspected diagnosis, the MAS score is now 2 or even 3. Some comments and questions: "Oval area of altered intensity in the anterior aspect of the left lateral ventricle. Asymmetric choroid given first consideration." That means, as explanation of the "are af altered intensity" in the anterior aspect of the left lateral ventricle they consider as the most probable diagnosis "Asymmetric choroid", chorioid is a normal structure on the walls of the ventricles, sometimes with (normal) calcification, so this process (calcification) or asymmetrical structures of the choriods may lead to the aspect of "area of altered intensity in the anterior aspect of the left lateral ventricle". If that were true, which is the most probable explanation according to your doctors, it would be a normal variant without clinical significance. One will recommend follow up neuroradiological examinations to make sure that it's just such asymmetric choriod. "hat all that means, but we have to start documenting headaches. My past posting in December, I stated he did not have major headaches to go along with the vision. Unfortunately, last week, he had his first migraine experience. It lasted a few hours. color aura, nausea, dizziness, pain, the whole nine yards... " So this would be a first attack of classical migraine = migraine with aura. Can you ask you son to describe the color aura more detailed? How long did it last? Was it before, during or after the headache? Can he make a picture of it? Did the persisting visual disturbance change in intensity with or after this atatck? "The vision snow seems to be getting worse" - when did that start? after the migraine attack with color aura? "As of of right now, we are to record any and all headaches for the next 30 days, then we return to the neurologist." That's a headache calendar to have a look what the temporal course of the headache is like, and whether the frequency of attacks is so high as to recommend a prophylactic medication. Can you also ask your son to make a drawing of his persistent visual phenomena. Greetings, KP

PS: You wrote that the persistent vs got worse. Did this worsening happen gradually, or abruptely, with a step-wise increase of intensity. If the latter, was the worsening after the attack of migraine with aura?