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April 1957

Treatment of Migraine

AMA Arch NeurPsych. 1957;77(4):392. doi:10.1001/archneurpsyc.1957.02330340068012

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John R. Graham's little book, entitled "Treatment of Migraine," is an eminently clear and readable account of the clinical phenomenology and therapy of migraine headaches. The author discusses, in successive chapters, the diagnosis of migraine, the dynamics of the migraine attack, treatment of acute symptomatology, prophylaxis, and surgical measures for the relief of headache.

In the last chapter, the difficult and seldom-discussed problem posed by migraine status is comprehensively reviewed. A detailed bibliography and index conclude the volume. The concept that migraine is, in part, a cranial vascular consequence of a way of life is admirably presented, and the discussion of therapeutic agents, especially ergotamine tartrate, is complete and specific. In the consideration of headache prophylaxis, however, the role of the physician-patient relationship and the beneficial effects of alterations in attitude, goals, and values might have been more strongly emphasized.

The author's experiences, cited generously throughout the volume, illuminate his