The clinical and electroencephalographic findings in a case of migraine with severe and repeated preheadache focal neurological phenomena are presented. Psychological data on the patient revealed many of the attacks to have occurred in a setting of unexpressed anger.
Evidence is presented to support the vasospatic nature of these attacks in migraine, and the relationship of the preheadache phenomena in migraine and the focal hypertensive encephalopathy is commented on. The case of the man who had first migraine and then focal and hypertensive encephalopathy is presented and the similarity in the psychological events preceding the attacks in both patients is noted.
*Neuropsychiatry Division, Army Medical Service, Graduate School, Walter Reed Army Medical Center, Washington 12, D. C.
Copyright © 1953 by American Psychosomatic Society