Through the looking glass, another look at migraine.
نویسنده
چکیده
Diary Entries In a diary entry from January 17 1856, Carroll noted: ’’Consulted Mr Bowman, the oculist, about my right eye: he does not seem to think anything can be done to remedy it, but recommends me not to read long at a time, nor at the railway, and to keep to large type by candlelight’’. 2 This most likely alluded to his right-sided paracentral negative scotoma as depicted in his frontispiece drawing from Mischmasch, which he compiled in 1855. It is interesting to note that the character depicted has parts of his head, shoulder, wrist and hand missing, in keeping with the rounded border defect seen in a negative scotoma. Carroll mentions in another diary entry from 1885, having ’’experienced, for the second time, that odd optical affection of seeing moving fortifications, followed by a head-ache.’’ 2 Unfortunately, Carroll continued to suffer from visual aura type symptoms; over the following years, without headache, suggesting an acephalgic migraine as his primary diagnosis. 1888 ’’Dec 3. Again experienced the optical ’fortifications’. It began with a distinct loss of a large piece of the area of vision of the left eye, the blind patch being in the right hand corner, just where, directly afterwards, the ’fortifications’ appeared.’’ In another diary entry almost a year later, Carroll writes: 1889 ’’Sept 9 Also today I saw ’fortifications’ but no headache followed.’’ 2
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عنوان ژورنال:
- Irish medical journal
دوره 104 3 شماره
صفحات -
تاریخ انتشار 2011