CERTAIN HALLUCINATIONS PECULIAR TO MIGRAINE

CERTAIN HALLUCINATIONS PECULIAR TO MIGRAINE
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DOI:
10.1097/00005053-195210000-00009
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发表时间:
1952-01-01
影响因子:
1.9
通讯作者:
LIPPMAN, CW
LIPPMAN, CW
中科院分区:
医学4区
文献类型:
--
作者:
LIPPMAN, CW

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偏头痛347特有的幻觉,发生的事情不是真实的。他看着镜子,却没有看到它;他用手触摸自己的身体,发现他所感觉到的发生在他身上的事情并不存在。那些在幻觉发作后不久就出现周期性单侧头痛的患者认识到它与偏头痛的联系。然而,在许多情况下,幻觉构成了整个攻击。没有头痛。仅仅安慰并不能缓解病情,但在性激素的治疗下,包括头痛在内的症状会长时间消失。它们可能会随着tr 2 tII 1 SIlt的停止而返回。我已经说过文献中没有关于这种幻觉的描述。一个可能的例外是奥本海姆描述的“独特”病例,每次头痛发作“之前都有典型的小脑症状......与此同时,他感到自己的身体或身体的某些部分变大了一倍.”为了简洁起见,我从我收集的大量类似案例中选择了以下7个典型案例。在每种情况下,幻觉都出现在头痛发作之前、期间或之后。这些人中的每一个都没有神经病或精神病遗传。他们自己,父母一方或双方,和/或兄弟姐妹有典型的偏头痛。他们在商业或专业成就上高于平均水平,或者他们是好的家庭主妇和母亲,忙碌,足以适应周围的世界。他们通常是性和高度智能。
Hallucinations Peculiar to Migraine 347 tion, and that what is happening is not real. He looks in the mirror and does not see it; he touches his body with his hands, and finds that what he feels is happening to him does not exist. Those patients who have periodic one-sided headaches shortly after the onset of the hallucination recognize its connection with migraine. Hotuever, there are a great number of cases in which the hallucination constitutes the entire attack. No headache follows. Mere reassurance does not relieve the condition, but under treatment with sex hormones, the symptoms, including the headaches, dis-appear for prolonged periods. They may return with the cessation of tr2 tII1SIlt.I have said the literature contains no descriptions of such hallucinations. A possible exception is the “unique” case described by Oppenheim, where each attack of headache “was preceded by typical cerebellar symptoms... at the same time there existed the sensation that his body or individual parts thereof were doubled in size...” For the purpose of brevity I have selected the following 7 typical case histories from my large collection of similar histories. In each case the hallucinations appear either before, during, or after the headache attack. Each and every one of these people is free of neuropathic or psychopathic inheritance. They, themselves, one or both parents, and/or siblings have classic migraine. They are above the average in business or professional achievements, or they are good housewives and mothers, busy and adequate to the world around them. They are normally sexed and highly intelligent.