Oliver Sacks Migraine Quotes & Sayings

Many patients may confess that they feel "strange" or "confused" during a migraine aura, that they are clumsy in their movements, or that they would not drive at such a time. In short, they may be aware of something the matter in addition to the scintillating scotoma, paraesthesiae, etc., something so unprecedented in their experience, so difficult to describe, that it is often avoided or omitted when speaking of their complaints. Great — Oliver Sacks

The drowsiness which often accompanies or precedes a severe common migraine is occasionally abstracted as a symptom in its own right, and may then constitute the sole expression of the migrainous tendency. The — Oliver Sacks

Transient states of depersonalisation are appreciably commoner during migraine auras. Freud reminds us that " ... the ego is first and foremost a body-ego ... the mental projection of the surface of the body." The sense of "self" appears to be based, fundamentally, on a continuous inference from the stability of body-image, the stability of outward perceptions, and the stability of time-perception. Feelings of ego-dissolution readily and promptly occur if there is serious disorder or instability of body-image, external perception, or time-perception, and all of these, as we have seen, may occur during the course of a migraine aura. — Oliver Sacks

Chorea - a twinkling movement or motor scintillation - does not have its origin in the cerebral cortex, but in the deeper parts of the brain, the basal ganglia and upper brainstem, which are the parts that mediate normal awakening. Thus these observations of chorea during migraine support the notion that migraine is a form of arousal disorder, something located in the strange borderlands of sleep - a disorder which has its origin deep in the brainstem, and not superficially, in the cortical mantle, as is often supposed (a — Oliver Sacks

PERIODIC MOOD-CHANGES We have already spoken of the affective concomitants of common migraines - elated and irritable prodromal states, states of dread and depression associated with the main phase of the attack, and states of euphoric rebound. Any or all of these may be abstracted as isolated periodic symptoms of relatively short duration - some hours, or at most two or three days, and as such may present themselves as primary emotional disorders. The most acute of these mood-changes, generally no more than an hour in duration, usually represents concomitants or equivalents of migraine aura. We may confine our attention at this stage to attacks of depression, or truncated manic-depressive cycles, occurring at intervals in patients who have previously suffered from attacks of undoubted (classical, common, abdominal, etc.) migraine. — Oliver Sacks

Thus it is awkward to call motion-sickness a migraine attack, but we may very conveniently term it a migranoid reaction, and note, in support of its affinities, that a large minority (almost 50 per cent, according to Selby and Lance) of adult migraine sufferers experienced severe motion-sickness in — Oliver Sacks

Compact and clearly defined at its center, migraine diffuses outwards until it merges with an immense surrounding field of allied phenomena. The only boundaries which exist are those which we are forced to adopt for nosological clarity and clinical action. We construct such boundaries and limits, for there is none in the subject itself. — Oliver Sacks

Presiding over the entire attack there will be, in du Bois Reymond's words, "a general feeling of disorder," which may be experienced in either physical or emotional terms, and tax or elude the patient's powers of description. — Oliver Sacks

Sudden fright, or rage, or other strong emotion may disperse and displace a migraine almost within seconds. One — Oliver Sacks

By what warrant, therefore, is such an attack to be termed an extended epilepsy rather than a quite brief and severe, let us say, a condensed migraine? — Oliver Sacks

If migraine patients have a common and legitimate second complaint besides their migraines, it is that they have not been listened to by physicians. Looked at, investigated, drugged, charged, but not listened to. — Oliver Sacks

many cardinal characteristics of migraine aura, in its visual (scotomatous), tactile (paraesthetic) and aphasic forms. We — Oliver Sacks

The hateful mood of a migraine - depressed and withdrawn, or furious and irascible - tends to melt away in the stage of lysis, to melt away with the physiological secretion. "Resolution by secretion" thus resembles a catharsis on both physiological and psychological levels, like weeping for grief. The — Oliver Sacks

This gave me a feeling of what seemed wrong with American medicine, that it consisted more and more of specialists. There were fewer and fewer primary care physicians, the base of the pyramid. My father and my two older brothers were all general practitioners, and I found myself feeling not like a super-specialist in migraine but like the general practitioner these patients should have seen to begin with. — Oliver Sacks