Which manifestation might a client with a migraine headache with aura report when a migraine is coming on?

A client experiencing a migraine with aura might report visual disturbances as one of the key manifestations leading up to the headache. The aura is a specific set of neurological symptoms that precede the migraine and typically lasts for 20-60 minutes. Visual disturbances can include symptoms such as seeing flashes of light, zigzag patterns, or temporary loss of vision in one eye. These symptoms are closely associated with the migraine aura and serve as important warning signs to the individual.

Other manifestations related to migraines can occur, but visual disturbances are hallmark symptoms specifically noted in conjunction with the aura phenomenon. This differs from other symptoms that do not have the same direct association with the migraine aura, such as severe neck pain, lightheadedness, and nausea without vomiting. While these symptoms might be experienced during a migraine episode, they are not considered part of the aura phase that precedes the headache.