Abstract
Perceptual disorders in patients with migraine are common and therefore well known in the optic sense. However, a review of the literature reveals a variety of perceptual phenomena with regard to all of the senses as well as disturbances in body image and physical sensations. The criteria for interpreting these phenomena in the context of migraine disorder, even if they are not accompanied by headache, are: the reaction to migraine therapy; previous occurrence, together with a migraine headache; a family history of migraine. From a psychopathological perspective, selected features of the phenomena and questions regarding terminology are discussed: the phenomena should be referred to as hallucinations, the headache itself is real and should not be called a hallucination.
Zusammenfassung
Die Phänomenologie und Psychopathologie von Wahrnehmungsstörungen bei Migräne werden diskutiert. Neben Gesichtsfeldausfällen und einfachen produktiven optischen Phänomenen (Flimmerskotome, Fortifikationsfiguren) können auch Wahrnehmungsstörungen in anderen Sinnesmodalitäten auftreten einschließlich komplexer Störungen des Körpererlebens. Psychopathologische Beschreibungsmerkmale, Fragen der begrifflichen Erfassung und des adäquaten Verständnisses der Phänomene werden erörtert.
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Literatur
Alvares WC (1960) The migrainous scoroma as studied in 618 persons. Am J Ophthalmol 49:489
Bleuler M (1983) Lehrbuch der Psychiatrie. Springer, Berlin Heidelberg New York
Bücking H, Baumgartner G (1974) Klinik und Pathophysiologie der initialen neurologischen Symptome bei fokalen Migränen (Migraine ophthalmique, Migraine accompagnée), Arch. Psychiatr Nervenkr 219:37
Crosley CJ, Dhamoon S (1983) Migrainous olfactory aura in a family. Arch Neurol 40:459
Fisher CM (1986) An unusual case of migraine accompaniements with permanent sequela—a case report. Headache 26:266
Forrer GR (1962) Hallucinated headache. Psychosomatics 3:120
Forrer GR (1970) The function of hallucinated pain. In: Keup W (ed) Origin and mechanisms of hallucinations. Plenum Press, New York London, pp 461–464
Golden GS (1979) The Alice in Wonderland Syndrome in juvenile migraine. Pediatrics 63:517
Haas DC (1982) Prolonged migraine aura status. Annu Neurol 11:197
Hachinski VC, Porchawka J, Steele JC (1973) Visual symptoms in the migraine syndrome. Neurology 23:570
Hagen FW (1868) Zur Theorie der Halluzinationen. Allg Z Psych 25:1
Karbowski K (1982) Auditive und vestibuläre Halluzinationen epileptischer Genese. In: Karbowski K (Hrsg) Halluzinationen. Huber, Bern Stuttgart Wien
Lippman CW (1951) Hallucinations in migraine. Am J Psychiatry 107:856
Lippmann CW (1952) Certain hallucinations peculiar to migraine. Nerv Ment Dis 111:346
Lippman CW (1953) Hallucinations of physical duality in migraine. J Nerv Ment Dis 117:345
Richards W (1971) The fortification illusions of migraines. Sci Am 224:88
Sacks O (1985) Migräne. Kohlhammer, Stuttgart Berlin Köln
Selby G, Lance JW (1960) Observations on 500 cases of migraine and allied vascular headache. J Neurol Neurosurg Psychiatry 23:23
Spitzer M (1987) Pseudohalluzinationen. Fortschr Neurol Psychiatrie 55:91
Spitzer M (1988) Halluzinationen. Springer, Berlin Heidelberg New York
Todd J (1955) Thesyndrome of Alice in wonderland. Can Med Assoc J 73:701
Whitty CWM (1967) Migraine without headache. Lancet II:283
Wolberg F, Ziegler DK (1982) Olfactory hallucination in migraine. Arch Neurol 39:382
Wundt W (1901) Grundriß der Psychologie, 4.Aufl. Engelmann, Leipzig
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Spitzer, M. Wahrnehmungsstörungen bei Migräne. Schmerz 2, 66–72 (1988). https://doi.org/10.1007/BF02528677
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DOI: https://doi.org/10.1007/BF02528677