title: Dr. Harvey Cushing's attempts to cure migraine based on theories of pathophysiology.
abstract: A multitude of theories characterized medical thought on migraine in the early 20th century. Newly discovered historical case files revealed Dr. Harvey Cushing's previously unpublished early attempts at surgical cure of migraine. Following institutional review board approval, and through the courtesy of the Alan Mason Chesney Archives, the authors reviewed the microfilm surgical records for The Johns Hopkins Hospital from 1896 to 1912. Patients undergoing surgical intervention by Dr. Harvey Cushing for the treatment of migraine were selected for further review. All 4 patients in the series were women and ranged in age from 29 to 41 years old. The women were admitted and observed in the hospital until a migraine occurred. Surgeries were performed while the women were in the midst of an attack. Cushing used surgical strategies including decompression, temporal artery ligation, and removal of the spine of the second vertebra. In each case, the patients' headaches eventually returned following surgery. Cushing relied on a combination of contemporary theories on migraine including humeral science, vasospastic theory, organic cause, and increased intracranial pressure. His unpublished efforts foreshadowed future surgical efforts at curing migraines.
authors.affiliation: Departments of Neurosurgery and Oncology, The Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
authors.forename: Katherine
authors.initials: K
authors.lastname: Latimer
authors.forename: Courtney
authors.initials: C
authors.lastname: Pendleton
authors.forename: Jason
authors.initials: J
authors.lastname: Rosenberg
authors.forename: Aaron A
authors.initials: AA
authors.lastname: Cohen-Gadol
authors.forename: Alfredo
authors.initials: A
authors.lastname: Quiñones-Hinojosa
mesh_terms: D000328:Adult; D015142:Baltimore; D005260:Female; D049673:History, 20th Century; D006801:Humans; D008881:Migraine Disorders / Q000209:etiology / Q000601:surgery*; D009493:Neurosurgery / Q000266:history*