THE NATURE OF MIGRAINE
It was, therefore, also with some hesitation that I accepted the invitation, humbly realizing that I can bring my audience nothing new, and when now, I nevertheless venture to try to speak about the nature of migraine seen from my point of view after a long life of work with migraineological problems, I do it to a very limited extent only on the basis of my own experience, but first and foremost because I base my opinion on the facts with which friends and colleagues have enriched our knowledge through their research, not only through numerous literary publications and lectures, but also and not least through the answers to personal inquiries which I have received with thanks in the course of time.
Psychiatric aspects of the treatment of headache
CERTAIXLIemotional factors appear to be n very conimoii precipitant for many headaches, whether these ;ire the symptoms of psychophysiologic disturbance, such as migraine or tension headache; a symbolic communication of distress; or :I combination of these expressions. Anxiety productive of a headache syndrome has the same sources as that which ~>roduces other psychologic symptoms. I woiild like to give you an operational definition of anxiety which has proved very useful to me. Rightly or wrongly, the anxious person expects to receive from a significant and respected person an unfavorable estimate of his personal work. This is a useful definition because it gives some hints as to how one might proceed with the initial history taking. It is essential that the diagnostician discover d l the important relations in a patient’s life, both past and present. By limiting the kinds m d nature of relationships discussed during
TREATMENT OF POST-LUMBAR-PUNCTURE HEADACHE WITH ERGOTAMINE TARTRATE
The object of this paper is to summarize some observations on the treatment of post-lumbar-puncture headache, following spinal anesthesia, with ergotamine tartrate. The use of ergotamine tartrate for the treatment of post-lumbar-puncture headache was mentioned by Targowla and Lamache. 1 They reported that ergotamine tartrate seemed to be of value in the treatment of post-lumbar-puncture phenomena. Lennox, von Storch and Solomon 2 reported on the effect of ergotamine tartrate on nonmigrainous headache. In their series of patients who were unsuccessfully treated for many types of headache other than migraine were 7 who had headaches and a decreased cerebrospinal fluid pressure after lumbar puncture. PRESENT INVESTIGATIONS The 35 patients who were treated with ergotamine tartrate were from a group of 418 patients on whom lumbar puncture was performed and spinal anesthesia induced (with procaine). Most of the patients who received the drug were not allowed out of bed because of some