Koehler P J
Department of Neurology, Ziekenhuis de Wever & Gregorius, Heerlen, The Netherlands.
Cephalalgia. 1995 Oct;15(5):370-2. doi: 10.1046/j.1468-2982.1995.1505370.x.
In 1859 the famous physiologist Du Bois-Reymond, a migraine sufferer, stated that migraine could be due to an increased sympathicotonic influence on the blood vessels of one side of the head. Migraine, he thought, was not a disease of the brain or cranial blood vessels, but of the cilio-spinal center in the spinal cord. The physician and physiologist Brown-Séqard, who, independently from Claude Bernard, discovered and interpreted the action of the vasomotor nerves in the early 1850s, commented on Du Bois-Reymond's paper, stating that irritation of the cervical sympathetic does not cause pain. From his great experience from animal experiments and clinical observations he had concluded that stimulation of the cervical sympathetic would cause epileptic seizures, rather than migraine attacks. He felt that Du Bois-Reymond's observations would better fit a sympathico-paralytic model of migraine. He was seconded by other physicians like Möllendorff, until Latham tried to unify both theories.
1859年,著名生理学家杜波依斯 - 雷蒙德(Du Bois-Reymond)是一名偏头痛患者,他指出偏头痛可能是由于交感神经对头部一侧血管的影响增强所致。他认为,偏头痛不是大脑或颅脑血管的疾病,而是脊髓中睫状脊髓中枢的疾病。医生兼生理学家布朗 - 塞加尔(Brown-Séquard)在19世纪50年代初独立于克劳德·伯纳德(Claude Bernard)发现并解释了血管运动神经的作用,他对杜波依斯 - 雷蒙德的论文发表评论,称刺激颈交感神经不会引起疼痛。根据他在动物实验和临床观察中的丰富经验,他得出结论,刺激颈交感神经会引发癫痫发作,而非偏头痛发作。他觉得杜波依斯 - 雷蒙德的观察结果更符合偏头痛的交感神经麻痹模型。像默伦多夫(Möllendorff)等其他医生也支持他的观点,直到莱瑟姆(Latham)试图将两种理论统一起来。