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Migraine
The Evolution of Our Knowledge
Alan Rapoport, MD;
John Edmeads, MD
Arch Neurol. 2000;57:1221-1223.
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Throughout history, physicians have approached a disease by recognizing it as an entity, understanding its nature, and searching for its cause. They have devised treatments that flow logically from that understanding. Headache, an ancient and much-studied complaint, has a rich historical literature that illustrates the evolution of our knowledge from the magical to the molecular level.
ANCIENT REFERENCES
Five thousand years ago, Mesopotamian physicians viewed headache as a disease entity rather than a symptom and attributed it to an evil spirit named Tiu. A clinical description from that time noted:
Headache roams the desert, blowing like the wind. Flashing like lightning it is loosed above and below. It cuts off like a reed him who fears not his god. . . . This man it has struck, and like one sick of heart, he staggers; Like one bereft of reason, he is broken.1
Exactly what type . . . [Full Text of this Article]
CLINICAL FEATURES
THOMAS WILLIS
TREATMENT
From The New England Center for Headache, PC, Stamford, Conn (Dr Rapoport); and the University of Toronto, Toronto, Ontario (Dr Edmeads).
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