Summary
1. The term “migraine” should not be used to designate a group of symptoms definitely referable to an organic cause.
2. Migraine, an allergic phenomenon, is probably caused by a transient edema of the cerebral meninges.
3. The diagnosis of migraine depends essentially upon a history of typical attacks in a patient with an allergic family and personal history and upon the finding of a definite allergic factor.
4. The treatment of the migraine attack consists in rest, sedation, rapid elimination or neutralization of the offending factor and the use of adrenal or pituitary extract.
5. Prophylaxis consists in avoiding offending foods, desensitization where removal of an offending factor is impossible, the removal of focal infections and the restoration of a normal endocrine balance.
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References
Bell, F. E.: Migraine, Its Treatment with Peptone and Its Familial Relation to Sensitization Diseases. Amer. Journ. Med. Sc. CLXXIII, 781, 788, 1927.
Vaughan, W. T.; Allergic Migraine. Journ. Amer. Med. Assoc. LXXXVIII, 1383, 1386, 1927.
Balyeat, R. M. & Brittain, F. L.: Allergic Migraine. Based on a study of 55 cases. Amer. Journ. Med. Sc. CLXXX, 212–221, 1930.
Rowe, A. H.: Allergic Toxemia and Migraine Due to Food Allergy: Report of Cases. California & West. Med. XXIII, 785–793, 1930.
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Read before the Section of Gastro-Enterology and Proctology, Annual Session of the American Medical Association, Milwaukee, June 15, 1933. Approved for publication by the Executive Committee of the Section.
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Andresen, A.F.R. Migraine, an allergic phenomenon. American Journal of Digestive Diseases and Nutrition 1, 14–17 (1934). https://doi.org/10.1007/BF02998974
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DOI: https://doi.org/10.1007/BF02998974