One central theme seems to decry the simplistic view that a migraine is defined by a unilateral (hemicranial) headache. In contemporary medicine, Dalessio, Goadsby, Raskin, Sacks, Silberstein, Lipton, Stewart, Saper, and Welch are among those who could be singled out for their contributions to the study of migraines. Further detailed clinical descriptions are found in the writings of Gowers. Sacks 5 pays homage to Edward’s masterful treatise On Megrim, Sick Headache, and Some Allied Disorders (1873) as an unequaled description of the disorder. Throughout the eighteenth and nineteenth centuries, descriptions of the clinical phenomena and suggestions for therapy continued to appear in the writings of many prominent men in the medical professions.
Historical figures believed to have had migraines include Julius Caesar, Emmanuel Kant, Alexander Pope, Isaac Newton, and Sigmund Freud. The term hemicrania evolved from a variety of older descriptions and was one of the first names for this disorder this was later contracted by the French in the thirteen century to the word “migraine.” More than 300 years ago, Thomas Willis wrote the first modern description of a migraine and its possible causes. 4 Neuro-ophthalmologic symptoms and signs are common in migraines and should be recognized by the clinician. 2, 3 It is estimated that the lifetime prevalence of migraine in women is 99% and the lifetime prevalence in men is 93%. A Migraine is a periodic and paroxysmal protean disorder that affects more than 17% of women and 6% of men in the United States.
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