Migraine /
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Author / Creator: | Sacks, Oliver, 1933-2015 |
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Edition: | Rev. and expanded [ed.] |
Imprint: | Berkeley : University of California Press, c1992. |
Description: | xxiii, 338 p., [8] p. of plates : ill. (some col.) ; 24 cm. |
Language: | English |
Subject: | |
Format: | Print Book |
URL for this record: | http://pi.lib.uchicago.edu/1001/cat/bib/1505235 |
Table of Contents:
- List of Illustrations
- Preface to the Revised (1992) Edition
- Preface to the Original (1970) Edition
- Acknowledgments
- Foreword
- Historical Introduction
- Part I. The Experience of Migraine
- Introduction
- Chapter 1. Common Migraine
- Introductory Comments
- Headache
- Nausea and Associated Symptoms
- Facial Appearance
- Ocular Symptoms
- Nasal Symptoms
- Abdominal Symptoms and Abnormal Bowel-Action
- Lethargy and Drowsiness
- Dizziness, Vertigo, Faintness and Syncope
- Alterations of Fluid Balance
- Fever
- Minor Symptoms and Signs: Pupillary Abnormalities, Horner's Syndrome, Bradycardia, Multiple Ecchymoses, Whitening of Hair, etc.
- Organic Irritability and Photophobia
- Mood-Changes
- Symptom-Constellations in Common Migraine
- The Sequence of a Common Migraine: Prodromal Symptoms, Modes of Resolution, Post-Migrainous Rebound
- Concluding Comments
- Postscript (1992)
- Chapter 2. Migraine Equivalents
- Introductory Comments
- Cyclic Vomiting and Bilious Attacks
- Abdominal Migraine
- Periodic Diarrhoea
- Periodic Fever
- Precordial Migraine
- Periodic Sleep and Trance-States
- Periodic Mood-Changes
- Menstrual Syndromes
- Alternations and Transformations of Migraine
- Borderlands of Migraine: Vagal Attacks, Faints, Reactions to Heat, Exhaustion, Passive Motion, Alcohol, etc.
- Alternations and Concomitances with other Disorders: Asthma, Angina, Laryngospasm, Sleep-Disorders, Peptic Ulcer, Ulcerative Colitis, Crohn's Disease, Psoriasis, etc.
- Differential Diagnosis of Migraine Equivalents
- Concluding Comments
- Chapter 3. Migraine Aura and Classical Migraine
- Introductory Comments: Historical Descriptions of Migraine Aura
- Specific Visual Hallucinations: Phosphenes and Elementary Hallucinations, Varieties of Migraine Spectra, Characteristics of Scintillating and Negative Scotomata
- Specific Tactile Hallucinations: Paraesthesiae, Anaesthesia
- Other Sensory Hallucinations: Auditory, Olfactory, Taste, Epigastric, Motor, Vertiginous, etc.
- Pseudo-objectivity of Migraine Hallucinations
- General Alterations of Sensory Threshold
- Alterations of Consciousness and Postural Tone
- Specific Motor Disorders: Weakness, Paralyses, Spasms, Seizures
- Alterations of Affect and Mood
- Disorders of Higher Integrative Functions: Complex Visual Distortions (Micropsia and Macropsia, Mosaic and Cinematographic Vision, Metamorphopsias, Visual Agnosias, etc.)
- Complex Apraxias, Agnosias, and Distortions of Body-Image
- Aphasias
- Time-Distortions, Deja Vu, and Forced Reminiscence
- Dreamy States
- Migrainous Deliria and Psychoses
- Illustrative Case-Histories
- Comments on the General Structure of Migraine Aura: Its Differential Diagnosis and Distinction from Epilepsies
- Classical Migraine
- Postscript (1992): The Angst of Scotoma
- Chapter 4. Migrainous Neuralgia ("Cluster Headache")--Hemiplegic Migraine--Ophthalmoplegic Migraine--Pseudo-Migraine
- Migrainous Neuralgia: Synonyms, Typical Features, Illustrative Case-Histories
- Hemiplegic and Facioplegic Migraine: Typical Features, Possible Mechanisms of Attack, Case-Histories
- Ophthalmoplegic Migraine
- Pseudo-Migraine: Organic Lesions Simulating Migraine
- Permanent Neurological or Vascular Damage from Migraine
- Chapter 5. The Structure of Migraine
- Introductory Comments, Components and Functional Levels of Migraine, Psychophysiological Stages of Migraine, General Characteristics of Migraine: Relation to Sleep, Epilepsy, etc.
- Part II. The Occurrence of Migraine
- Introduction
- Chapter 6. The Predisposition to Migraine
- Introductory Comments
- Overall Incidence of Migraine
- Familial Occurrence and Inheritance of Migraine
- Signs of Migrainous Constitution
- Migraine Diathesis in Relation to Other Disorders
- Migraine in Relation to Age
- General Discussion and Conclusions
- Chapter 7. Periodic and Paroxysmal Migraines
- Migraine and Other Biological Cycles
- Time Between Attacks: Relation Between Frequency and Severity of Attacks
- Immunity Between Attacks
- Signs of Approaching Attacks
- Intrinsic and Extrinsic Determinants of Periodicity
- Conclusions: The Notion of Idiopathy
- Postscript (1992)
- Chapter 8. Circumstantial Migraine
- Classification of Provocative Circumstances
- Arousal Migraines: In Response to Light, Noise, Odours, Weather, Exercise, Excitement, Violent Emotions, Pain, Drugs, etc.
- Slump Migraines: In Relation to Eating, Fasting, Heat, Fever, Passive Motion, Exhaustion, Drugs (Alcohol, Reserpine, etc.)
- Nocturnal Migraines, and Relation of Attacks to Dreams and Nightmares
- Migraine Aura in Response to Flickering Light, Patterned Stimuli, and Visualisation of Scotomata
- Miscellaneous Determinants: Food, Constipation, Menstrual Cycles, Hormones, Allergies, etc.
- Self-Perpetuation of Migraines
- Provocation of Attacks in Relation to "Tuning" and Homeostatic Limits Within Nervous System
- Chapter 9. Situational Migraine
- Migraine in Relation to Intolerable Emotional Stress
- Preliminary Comments on "Migraine Personality" and Relation of Attacks to Repressed Hostility
- Case-Histories Illustrating Wide Range of Situations and Character-Types in which Repeated Migraines May Occur
- Part III. The Basis of Migraine
- Introduction
- Clarification of the Term "Cause" in Relation to Migraine
- Necessity to View Migraine in Three Ways: as a Process in the Nervous System, as a Reaction to Certain Stimuli, and as a Particular Form of Experience
- Chapter 10. Physiological Mechanisms of Migraine
- Historical Introduction: Classical Theories (Humoral and Sympathetic), Vascular and Vasomotor Theories of the Nineteenth Century
- Critiques of These
- Liveing's Theory of "Nerve Storms"
- Current theories of Migraine Mechanisms and their Supporting Data
- Vasomotor Theories (Latham-Wolff) Considered and Disputed
- Chemical Theories of Migraine, with Particular Reference to Acetylcholine, Histamine, and Serotonin: Critique of These
- Electroencephalographic Findings in Migraine: Notion of "Dysrhythmic Migraine," and of "Spreading Depression" in Relation to Migraine
- Limitations of Current Theory and Data
- Chapter 11. The Physiological Organisation of Migraines
- Introductory Comments
- Migraines as Polymorphous Parasympathetic or Trophotropic Events
- Migraine as a Slow Form of Centrencephalic Seizure
- Consideration of Visual Hallucinations in Migraine and Their Cortical Basis
- Hierarchical Organisation of Migraines, and Their Relationship to other Paroxysmal Events
- Migraine Considered as a "Neural Task," with Fixed Ends and Variable Means
- Chapter 12. Biological Approaches to Migraine
- Migraine Considered as a Special Form of Protective Behaviour
- Its Affinities to other Passive Reactions to Threat (Passive Fear, "Freezing," Sham Death, Pathological Sleep, Fainting, etc.)
- Contrast of These Reactions to Fight-Flight Responses
- Concept of the Migraine Archetype, and its Differentiation in Response to Human Needs and Human Nervous Systems
- Chapter 13. Psychological Approaches to Migraine
- Necessity of Considering Migraines as Experiences to which Emotional Values are Attached. Common Uses of Migraines: Recuperative, Regressive, Encapsulative, Dissociative, Aggressive, and Self-Punitive Attacks
- Mechanisms of Psychosomatic Illness in Reference to Migraine
- Migraine Considered as a "Vegetative Neurosis" and as a Special Form of Conversion Reaction
- Attachment of Symbolic Value to Particular Symptoms of Migraine
- Migraine Considered as an Archaic Form of Bodily Language
- Conclusions
- Part IV. Therapeutic Approaches to Migraine
- Introduction
- Chapter 14. General Measures in the Management of Migraine
- Introductory Comments: Approach to the Patient and Role of the Physician
- General Health Measures and Avoidance of Provocative Circumstances
- Forms and Uses of Psychotherapy
- Definition of Therapeutic Goals
- Reasons for Success and Failure in the Treatment of Migraine
- Chapter 15. Specific Measures During and Between Attacks
- Introductory and Historical Comments
- Drugs of Specific Use During Acute Attacks: Ergotamine, its Uses and Contraindications, Caffeine, Parasympathetic Blockers (Belladonna, etc.), Sympathomimetic Drugs (Amphetamines, etc.)
- Symptomatic Drugs: Analgesics, Anti-Emetics, etc.
- Miscellaneous Drugs: Legitimate and Otherwise General Measures in the Acute Attack
- Management of "Status Migrainosus"
- Drugs Employed in the Prevention of Migraine Attacks: Methysergide (Sansert, Deseril), its Uses and Dangers
- Use of Ergotamine Prophylactically
- The Role of Sedatives, Tranquillisers, Anti-Depressants, etc.
- Other Forms of Medication
- The Uses of Placebos
- Histamine "Desensitisation"
- Allergic "Desensitisation"
- Hormone Preparations, Their Abuses and Dangers
- The Place of Surgical Procedures
- Conclusions
- Chapter 16. Recent Advances in the Treatment of Migraine
- Part V. Migraine as a Universal
- Chapter 17. Migraine Aura and Hallucinatory Constants (with Ralph M. Siegel, PH.D.)
- Introduction
- Types or Levels of Hallucination
- Hallucinatory Constants
- Mechanisms of Hallucination
- Self-Organising Systems
- A New Model of Migraine Aura
- Appendix I. The Visions of Hildegard
- Appendix II. Cardan's Visions (1570)
- Appendix III. Remedies Advised by Willis (1672), Heberden (1801) and Gowers (1892)
- Glossary of Case-Histories
- Glossary of Terms
- Bibliography
- Index