By Oliver Sacks
Oliver Sacks vuelve a hacer gala de su singular talento como narrador, su sentido del humor y su inmensa cultura para plantear cuestiones que ponen en entredicho nuestra percepción del mundo y, muchas veces, nuestra propia identidad. Desde las visiones religiosas y su explicación fisiológica hasta el uso de drogas psicodélicas como puerta a una percepción inside que los sentidos nos niegan, los relatos del healthcare professional Sacks van más allá del mero historial médico y constituyen una auténtica historia cultural de los angeles percepción, un estudio antropológico de una supuesta anormalidad que no es, en el fondo, más que el reverso de lo que normalmente conocemos como realidad. «Fascinante. l. a. comprensión del health practitioner Sacks hacia sus pacientes y su perspectiva filosófica transforman simples casos clínicos en relatos que iluminan las complejidades del cerebro humano y los misterios de los angeles mente humana» (Michiko Kakutani, ny Times).
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London: Martin Dunitz; 2002:47â 65. 48 49 4. Welch KM, Cutrer FM, Goadsby PJ. Migraine pathogenesis: neural and vascular mechanisms. Neurology. 2003;60(suppl 2):S9â S14. 5. Ramadan NM. Targeting therapy for migraine: what to treat? Neurology. 2005;64 (suppl 2):S4â S8. 6. Silberstein SD, Lipton RB, Goadsby PJ. Headache in Clinical Practice. London: Martin Dunitz; 2002:116â 117. 7. Lewis DW, Dorbad D. The utility of neuroimaging the evaluation of children with migraine or chronic daily headache who have normal neurological examinations.
The neurological manifestations of migraine are often frightening to parents and patients, who may fear that they were caused by astroke. They may be reassured that these symptoms are characteristic of migraine. Hemiplegic migraine is a relatively uncommon familial condition, linked to genes on chromosomes 1 and 19 (18,19). Patients present with hemiplegia or hemiparesis accompanying migrainous headaches. MRI is usually ordered in these cases but is usually normal. In very rare cases, a hemiplegic migraine headache can develop into a cerebral infarction (stroke).
The headaches are usually refractory (preventive drugs may be tried) but eventually gradually stop occurring. The prognosis for children and adolescents, many of whom report significant improvement in their symptoms after 1 to 2 years, tends to be better (14). Migraine Clinical features Many children and adolescents have migraine headaches (1,2). In children, migraine headaches often first present during middle childhood (in boys) or adolescence (in girls). However, children as young as 2 years of age may have migraine headaches or a history suggesting a migraine variant syndrome (cyclic vomiting, benign paroxysmal vertigo).
Alucinaciones by Oliver Sacks