Migraine

by Oliver Sacks

In recent years the bestselling Awakenings and The Man Who Mistook His Wife for a Hat have received great critical acclaim, but Oliver Sacks's readers may remember that he began his medical career working with migraine patients. In this new edition of Migraine, he returns to his first book and enriches it with additional case histories, new findings, and practical information.

For centuries physicians and migraineurs have been fascinated by the visual hallucinations, or auras, which often precede a migraine and which are similar to those induced by hallucinogenic drugs or deliria. In a remarkable new chapter, illustrated with startling full-color paintings by migraine sufferers, Dr. Sacks draws on recent advances in chaos theory and neural simulation to describe these "hallucinatory constants" and what they reveal about the working of the brain.

Another important addition to the 1992 edition discusses newly developed drug therapies for migraine, as well as alternative, nondrug approaches. Only Oliver Sacks's boundless curiosity and rich imagination could yield such a fresh, comprehensive view of one of humankind's oldest afflictions.

• ISBN10: 0520082230
• ISBN13: 9780520082236
• Publish Date: 16 February 1993 (first published January 1971)
• Publish Status: Out of Print
• Out of Print: 12 November 2006
• Publish Country: US
• Imprint: University of California Press
• Edition: Rev&Exp
• Format: Paperback (US Trade)
• Pages: 400
• Language: English

Reviews

[gmcgregor]

As both a migraine sufferer and a devoted fangirl of Oliver Sacks, I was of course going to pick up his book Migraine. It's a quasi-scientific text, but I think it's still accessible to a popular audience. It just needs be an informed popular audience, or at least one willing to get their Google on when he starts talking about neurotransmitters.

Sacks takes a comprehensive look at migraines, beginning with setting them into historical context (they've been around at least as long as recorded history) and then describing the two basic types of migraines: with aura ("classical migraine") and without aura ("common migraine"). He goes into detail about the symptoms of the two, beginning with the common migraine, which is distinguished primarily by an intense, usually one-sided headache and some degree of nausea, and then proceeding to classical migraine, which is similar but also very different. The classical migraine has a visual component known as the "aura", which often takes the form of bright colors or patterns clouding the visual field. He then discusses possible causes, triggers, and treatment options.

In my experience (which is admittedly as a person with a psychology degree), Oliver Sacks' writing style, which bursts with curiosity and enthusiasm, tends to override concerns about technicality. That being said, of the many books I've read of his, this the most textbook-like. Assuming that the primary audience to which this book will appeal will be migraine-sufferers who already have some background information about their condition, I think it's fine. Even as a fairly savvy consumer, I learned things about migraines that I didn't know before. Since I'm the type of person who doesn't have aura, I was surprised to learn that it's actually fairly common for people who do get aura to get just the aura, without any headache component. Migraine sufferers will also be able to see how many of their symptoms are more common than they thought. I also found myself very grateful that my migraines debuted after the use of triptan drugs to treat migraines became standard, since I know my Imitrex is a lifesaver and previous drugs sound like they were generally less effective with more side effects. I'd definitely recommend this book to people curious about migraines, since I think it distills a lot of research and thought into one volume. Unless you're otherwise interested or a Sacks completist, though, it's probably not worth your time.