Migraine with aura involves reversible focal neurological symptoms—most often visual phenomena like scintillating scotomas, zigzag lines, or blind spots—that typically precede the headache phase.
If you or someone you know is experiencing an explosive headache peaking in seconds ("thunderclap headache"), sudden vision loss, fever with a stiff neck, confusion, or difficulty speaking, call 911 immediately.
Migraine with aura involves reversible focal neurological symptoms—most often visual phenomena like scintillating scotomas, zigzag lines, or blind spots—that typically precede the headache phase.
Clinical Context: New-onset aura symptoms require urgent neurological assessment to differentiate from transient ischemic attacks (TIAs) or seizures.
Diagnostic Consideration: Cortical spreading depression is the biological basis of aura, influenced heavily by cerebral perfusion and autonomic vascular regulation.
Vertebral artery hemodynamics are influenced by the alignment of the Atlas vertebra. Gentle correction helps support stable posterior cerebral circulation.
The cranio-cervical junction (where the skull meets the Atlas and Axis vertebrae) is the primary structural crossroads of the central nervous system. When misalignment occurs here, it can create mechanical traction on the brainstem, impede venous drainage, and disturb autonomic balance. Hope Southlake uses calculated 3D digital imaging to gently reposition these vertebrae without any twisting, popping, or cracking.
It’s not necessarily a sharp throbbing pain, but an unrelenting sensation of heaviness and pressure, as if your head is trapped in a tight helmet or swollen from the inside out.
Read Symptom Guide →Related SymptomWhen your headaches hit, normal conversation sounds like shouting and supermarket fluorescent lights feel blinding. You find yourself retreating into dark, silent rooms wearing sunglasses indoors.
Read Symptom Guide →Related SymptomYou take ibuprofen, acetaminophen, or prescription triptans, and the pain fades for a few hours. But by the next morning or afternoon, the headache returns with a vengeance.
Read Symptom Guide →
After suffering from multiple concussions, a serious back injury, and finding no answers in the traditional medical system, Dr. Kramer discovered upper cervical care. This personal journey fueled his passion for bringing precise, individualized care to the Southlake community.
"We understand how discouraging it is to keep searching for answers and still not feel like yourself. You deserve clarity and a precise path forward."
Advanced testing and examination help determine if upper cervical care is right for you.
Start restoring nervous system function and getting your life back.
What does life look like when your nervous system is finally in balance and your symptoms no longer control your calendar?
Wake up without debilitating head pressure or dizziness
Keep commitments to work, family, and social plans
Achieve deep, restorative sleep that recharges your energy
Reduce dependency on endless prescription rescue medications
Don't just take our word for it.
"Dr Kramer was my answer to constant, severe headaches which were caused by my neck. He identified the issue, and got things working properly again. The relief has been incredible. I'm so grateful."
- Stephanie Kabat
"I came in to this office very afraid for my future, because the symptoms I was having were debilitating. After completing my recommended course of initial treatment, I am excited about the future again. Dr Kramer is incredibly knowledgeable."
- Jessica Gilbert
"Dr. Kramer is wonderful. Takes time to listen to your story and comes up with a treatment plan just for you. Patient specialized care that is evidence based. His treatment has helped me tremendously with symptoms others could not change or even bothered to address. Highly recommend his skilled approach."
- Elizabeth Rose

Hope Upper Cervical Spine Center
500 N Carroll Ave Suite 110
Southlake, TX 76092
Phone: (972) 638-0994
Aura is caused by a wave of electrical depolarization across the visual cortex (cortical spreading depression). Vascular stability in the brainstem plays an important role in moderating these episodes.
Take the first step toward lasting relief and neurological stability. Schedule your consultation with Hope Southlake today.