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Book: Migraine
Quotes of Book: Migraine
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  1. Oliver Sacks _ Migraine

    McKenzie once called Parkinsonism "an organized chaos," and this is equally true of migraine. First there is chaos, then organization, a sick order; it is difficult to know which is worse! The nastiness of the first lies in its uncertainty, its flux; the nastiness of the second in its sense of immutable heavy permanence. Typically, indeed, treatment is only possible early, before migraine has "solidified" into immovable fixed forms.
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  2. Oliver Sacks _ Migraine

    Whichever method is utilised-violent physical, visceral, or emotional activity-the common factor is arousal. The patient is, as it were, awoken from his migraine as if from sleep. We shall further have occasion to see, when the specific drug therapies of migraine are under discussion, that the majority of these too serve to arouse the organism from a state of physiological depression.
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  3. Oliver Sacks _ Migraine

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

    The hateful mood of a migraine-depressed and withdrawn, or furious and irascible-tends to melt away in the stage of lysis, to melt away with the physiological secretion.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
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  5. Oliver Sacks _ Migraine

    many cardinal characteristics of migraine aura, in its visual {scotomatous}, tactile {paraesthetic} and aphasic forms. We
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  6. Oliver Sacks _ Migraine

    Attacks characterised by little more than malaise are likely to be regarded as mild viral illnesses. Attacks characterised by alteration of affect and consciousness-mild drowsiness or depression-may be taken for purely emotional reactions. Both
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  7. Oliver Sacks _ Migraine

    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?
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  8. Oliver Sacks _ Migraine

    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.
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  9. Oliver Sacks _ Migraine

    We have seen that there are two forms of stimulus which are particularly prone to evoke migrainous reactions in predisposed individuals: inordinate excitations or arousals, and inordinate inhibitions or slumps. Within certain "allowable" limits {which vary greatly from person to person}, the nervous system maintains itself in a region of equilibrium, homeostatically, by means of continuous, minor, insensible adjustments; beyond these limits, it may be forced to react by sudden, major, symptomatic adjustments.
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  10. Oliver Sacks _ Migraine

    fossilised" dream-sequences preserved as such in the cortex, precise replicas of past experience; they appear to be mnemic images which unfold, given the initial activation {epileptic, migrainous, experimental, etc.} at the same rate as the initial perceptual experience.
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  11. Oliver Sacks _ Migraine

    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.
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  12. Oliver Sacks _ Migraine

    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"
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