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August 3, 1984

Migraine and Its Variants

Author Affiliations

The Headache Research Foundation The Faulkner Hospital Boston

JAMA. 1984;252(5):691-692. doi:10.1001/jama.1984.03350050079041

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As the principal cause of migraine remains a mystery, the approach to therapy is usually palliative. Dr Selby has proposed "to provide the family physicians with guidelines" by recording the current methods being used, anticipating that this would "stimulate a renewed interest in the subject and so contribute to the better management of the patient with the limited therapeutic armamentarium at our disposal."

The text derives its strength from the use of actual case histories. The examples of common and classic migraine with various prodromes, as well as those of complicated migraine, are poignantly representative of these forms of headache. In the chapter on differential diagnosis, there are informative histories of arteriovenous malformations and intermittent obstruction of third or fourth ventricle. This wide range of headache cases gives the reader practical insight into the problem of migraine.

The sample headache questionnaire outlined in the book may serve as a model