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Late-Life Migraine

Late-Life Migraine Abstract Early in the evening of April 25,1990, a physician, 2 months shy of his 86th birthday, suffered a short dysphasic episode. The expressive aspect of speech apparently was more at fault, although reception also malfunctioned. His wife, realizing something was amiss, asked whether she might call his physician. He indicated not. Reclining briefly (a few minutes), he then arose and walked about, all the while "wriggling" his fingers, testing their function. There was the slightest cool sensation at the hairline of the left side of the forehead, which soon remitted. The entire episode lasted for a little less than an hour. He then took only a meager dinner rather than the usual repast. The next day, his relating these symptoms to physician associates occasioned a plethora of examinations, including, among others, blood pressure measurements, an electrocardiogram, chest films, ultrasound examination of carotid arteries in the neck, echocardiogram, and innumerable blood References 1. Fisher CM. Later-life migraine accompaniments as a cause of unexplained transient ischemic attacks . Can J Neurol Sci . 1980;7:9-17. 2. Critchley M. Discarded theories in the past 50 years . In: Blau JN, ed. Migraine . Baltimore, Md: Johns Hopkins University Press; 1987:241-246. 3. Wolff HG. Headache and Other Head Pain . 2nd ed. New York, NY: Oxford University Press Inc; 1963:773. 4. Petersen J, Scruton D, Downie AW. Basilar artery migraine with transient atrial fibrillation . BMJ . 1977;2:1125-1126.Crossref 5. Russell D, Storstein L. Chronic paroxysmal hemicrania: heart rate changes and ECG rhythm disturbances: a computerized analysis of 24 hr ambulatory ECG recordings . Cephalalgia . 1984;4:135-144.Crossref 6. Oppenheimer SM, Cechetto DF, Hachinski VC. Cerebrogenic cardiac arrhythmias . Arch Neurol . 1990;47:513-519.Crossref 7. Aring CD. The migrainous scintillating scotoma . JAMA . 1972;220:519-522.Crossref 8. Raymond LA, Sacks JG, Choromokos E. Hemorrhagic valsalva retinopathy in Leber's optic neuropathy . Ann Ophthalmol . 1985;17:553-554. 9. Crookshank FG. Migraine and Other Common Neuroses: A Psychological Study . Henley-on-Thames, England: Kegan Paul International Ltd; 1926. 10. Buring JE, Peto R, Hennekens CH. Low-dose aspirin for migraine prophylaxis . JAMA . 1990;264:1711-1713.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology American Medical Association

Late-Life Migraine

Aring, Charles D.
Archives of Neurology , Volume 48 (11) – Nov 1, 1991
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References (12)

Publisher
American Medical Association
Copyright
Copyright © 1991 American Medical Association. All Rights Reserved.
ISSN
0003-9942
eISSN
1538-3687
DOI
10.1001/archneur.1991.00530230082027
Publisher site
See Article on Publisher Site

Abstract

Abstract Early in the evening of April 25,1990, a physician, 2 months shy of his 86th birthday, suffered a short dysphasic episode. The expressive aspect of speech apparently was more at fault, although reception also malfunctioned. His wife, realizing something was amiss, asked whether she might call his physician. He indicated not. Reclining briefly (a few minutes), he then arose and walked about, all the while "wriggling" his fingers, testing their function. There was the slightest cool sensation at the hairline of the left side of the forehead, which soon remitted. The entire episode lasted for a little less than an hour. He then took only a meager dinner rather than the usual repast. The next day, his relating these symptoms to physician associates occasioned a plethora of examinations, including, among others, blood pressure measurements, an electrocardiogram, chest films, ultrasound examination of carotid arteries in the neck, echocardiogram, and innumerable blood References 1. Fisher CM. Later-life migraine accompaniments as a cause of unexplained transient ischemic attacks . Can J Neurol Sci . 1980;7:9-17. 2. Critchley M. Discarded theories in the past 50 years . In: Blau JN, ed. Migraine . Baltimore, Md: Johns Hopkins University Press; 1987:241-246. 3. Wolff HG. Headache and Other Head Pain . 2nd ed. New York, NY: Oxford University Press Inc; 1963:773. 4. Petersen J, Scruton D, Downie AW. Basilar artery migraine with transient atrial fibrillation . BMJ . 1977;2:1125-1126.Crossref 5. Russell D, Storstein L. Chronic paroxysmal hemicrania: heart rate changes and ECG rhythm disturbances: a computerized analysis of 24 hr ambulatory ECG recordings . Cephalalgia . 1984;4:135-144.Crossref 6. Oppenheimer SM, Cechetto DF, Hachinski VC. Cerebrogenic cardiac arrhythmias . Arch Neurol . 1990;47:513-519.Crossref 7. Aring CD. The migrainous scintillating scotoma . JAMA . 1972;220:519-522.Crossref 8. Raymond LA, Sacks JG, Choromokos E. Hemorrhagic valsalva retinopathy in Leber's optic neuropathy . Ann Ophthalmol . 1985;17:553-554. 9. Crookshank FG. Migraine and Other Common Neuroses: A Psychological Study . Henley-on-Thames, England: Kegan Paul International Ltd; 1926. 10. Buring JE, Peto R, Hennekens CH. Low-dose aspirin for migraine prophylaxis . JAMA . 1990;264:1711-1713.Crossref

Journal

Archives of Neurology – American Medical Association

Published: Nov 1, 1991

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