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MIGRAINE HEADACHES: PHOTOGRAPHS
Photographs A-F-The following photographs represent a variety of visual abnormalities that can accompany migraine headaches, particularly the classical migraine. In most cases, these abnormalities are temporary. The photographs demonstrate what you would see were you to have one of these abnormalities.
Photograph B?A large, glaring blind spot, negative scotoma, is present; this is what you would see, looking at the woman, if you had a negative scotoma. In migraine, a negative scotoma may locate anywhere in the visual field and may “travel” across the visual panorama during the preheadache phase.
Photograph C?This is an attempt to photographically reproduce what is called a scintillating scotoma. Instead of an absence of vision, in a scintillating scotoma there is a glittering pattern in what would have been an area of blindness. In both cases, the area of the scotoma is effectively blinded. The picture is also slightly out of focus, demonstrating the blurred vision that commonly accompanies migraine headaches.
Photograph D?This photograph depicts loss of vision on an entire side of the visual field. When an entire half of the visual field is involved, the abnormality is called a hemianopsia (hemi-, half, -anopsia, without vision). This particular loss of vision is the fortification spectrum abnormality, a form experienced by many migraine patients; there are many varieties of this zigzag blindness. The area may be small or may involve the entire half of the visual field. In the left lower corner of this picture is a negative scotoma.
Photographs E and F?These two photographs demonstrate the distorted visual images that occur in the “Alice in Wonderland syndrome.” Photograph E shows an elongated facial
appearance on our lady model. Photograph F is taken directly from the book Alice’s Adventures in Wonderland. The original drawings from Lewis Carroll’s classic works were done by John Tenniel with Lewis Carroll’s assistance.
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