Confirm that aura symptoms are fully reversible, exclude motor weakness, and escalate evaluation when retinal symptoms or frequent aura raise concern for stroke mimics or higher vascular risk.

Brainstem migraine requires at least two fully reversible brainstem aura symptoms; Motor weakness argues against the diagnosis and should prompt reconsideration; Cyclic vomiting, abdominal migraine, and benign paroxysmal vertigo are childhood migraine precursors; Retinal migraine is monocular and demands exclusion of retinal and vascular mimics; Frequent migraine aura is associated with progressively higher ischemic stroke risk