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September 29, 1945


JAMA. 1945;129(5):334-335. doi:10.1001/jama.1945.02860390020005

Within the past year I have treated 8 cases of headache so closely related from the standpoints of clinical manifestations and therapeutic response that a report seems warranted.

The characteristic picture was one of periodic attacks of throbbing pain in the right, left or both temporal regions radiating to the frontoparietal and postauricular areas. Although throbbing pain predominated and was frequently "unbearable," it was usually superimposed on a dull, constant ache in the involved parts. Attacks ranged in frequency from once a month to several times a week over a period of months or years, usually recurred in the same region (right or left temporal) and lasted from several hours to several days. Onset was abrupt, appeared any time during the day and was apparently unrelated to physical exertion or emotional tension.

Gastrointestinal manifestations were common but tended to accompany the headache rather than precede it. Scotomas, dizziness, facial flushing