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[医学与天文学的邂逅:偏头痛幻象]

[An encounter between medicine and astronomy: migraine visions].

作者信息

Lardreau Esther

出版信息

Vesalius. 2011 Jun;17(1):16-23.

Abstract

Until the second half of the eighteenth century, the very definition of migraine as hemicrania (pain felt in one side of the head) eclipsed symptoms that were then considered as "marginal", although tingling sensations, speech impairment and visual impairment had already been described by Piso and Wepfer. The possibility of a migraine without a headache nevertheless started to be envisaged, inviting one to re-evaluate the status of these phenomena. But, as paradoxical as it may seem, it is in the field of astronomy that some of these phenomena such as visual aberrations were analyzed systematically and acknowledged to be migrainous. Scintillating scotoma is no exception: it was indeed mentioned as early as in the Hippocratic corpus, but until the end of the nineteenth century it was addressed as a separate condition to migraine. We limit our study to the visual aura. Our purpose is to show that the ophthalmic symptoms affecting migraine sufferers were not, by themselves, a medical object--which somehow calls into question the very functioning of science.

摘要

直到18世纪后半叶,偏头痛被定义为偏侧头痛(头部一侧感到疼痛),这使得当时被认为是“边缘性”的症状黯然失色,尽管皮索和韦普费尔已经描述过刺痛感、言语障碍和视力障碍。然而,无头痛性偏头痛的可能性开始被设想,这促使人们重新评估这些现象的地位。但是,看似矛盾的是,正是在天文学领域,其中一些现象,如视觉像差,得到了系统的分析,并被确认为偏头痛性的。闪光暗点也不例外:早在《希波克拉底文集》中就有提及,但直到19世纪末,它都被视为与偏头痛无关的一种单独病症。我们将研究局限于视觉先兆。我们的目的是表明,影响偏头痛患者的眼部症状本身并非医学研究对象——这在某种程度上对科学的运作提出了质疑。

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