re could this be a migraine gb from geb cs pitt edu gordon banks gb i am excepting migraine which is arguably neurologic gb i hope you meant inarguably given the choice i would rather argue g no arguments about migranous aura in fact current best evidence is that aura is intrinsicially neuronal a la spreading depression of leao rather than vascular something causing vasoconstriction and secondary neuronal ischemia migraine without aura however is a fuzzier issue there do not seem to be objectively measurable changes in brain function the copenhagen mafia lauritzen olesen et al have done local cbf studies on migraine without aura and unlike migraine with aura but like tension type they found no changes in lcbf from one absurd perspective all pain is neurologic because in the absence of a nervous system there would not be pain from another tautologic perspective any disease is in the domain of the specialty that treats it neurologists treat headache therefore at least in the usa headache is neurologic whether neurologic or not nobody would disagree that disabling headaches are common perhaps my fee for service neurologic colleagues scrounging for cases want all the headache patients they can get working on a salary however i would rather not fill my office with patients holding their heads in pain slmr e mail jim zisfein factory com jim zisfein
