It has been proposed that migraine auras may be the result of cortical hyperexcitability (Welch, D'Andrea, Tepley, Barkley, & Ramadan,
1990) due to a lack of inhibitory control (Wilkins et al.,
1984). This reduced-inhibition hypothesis has been tested in a number of studies, but results have been inconclusive. While some have found performance of people with migraine consistent with defective inhibition (e.g., Palmer, Chronicle, Rolan, & Mulleners,
2000), others have found them to operate at a near-typical level (McColl & Wilkinson,
2000; Shepherd,
2000,
2001; Shepherd, Palmer, & Davis,
2002; Shepherd, Wyatt, & Tibber,
2011; Wilkinson & Crotogino,
2000). An alternative explanation for perceptual differences between people with and without migraine can be based on increased internal noise, a possible consequence of cortical hyperexcitability (McKendrick & Badcock,
2004b; Wagner et al.,
2013). People with migraine perform worse than people without in a range of visual tasks, consistent with increased levels of internal noise. These include low-level tasks such as discrimination of spatial frequency (Shepherd
2000), orientation (Wilkinson & Crotogino,
2000), flicker (McKendrick & Badcock,
2004a), color (McKendrick, Cioffi, & Johnson,
2002; Shepherd
2006), luminance (Wagner, Manahilov, Loffler, Gordon, & Dutton,
2010; Webster, Dickinson, Battista, McKendrick, & Badcock,
2011), and long-range inhibition (Wagner, Manahilov, Gordon, & Storch,
2012).