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October 29, 1927


Author Affiliations

From the Cleveland Clinic.

JAMA. 1927;89(18):1489-1492. doi:10.1001/jama.1927.02690180021006

It is with some hesitation that one attempts to add to the literature on a subject about which so much has already been written and about which so little is actually known. But when one is confronted almost daily with patients complaining of migraine and finds that only in the exceptional case has any attempt been made to establish a rational therapeutic regimen, the treatment having been limited, as a rule, to the relief of the immediate attack, one feels that any suggestion is worth while which may lead to a method of treatment that will give more satisfactory results both to the patient and to the physician.

The apparently careless attitude of the physician toward migraine may possibly be explained in several ways: No dire consequences are associated with the disease, and therefore the preservation of the patient's general health does not demand that the attacks be prevented; the