ART AS A DIAGNOSTIC TOOL FOR MIGRAINE: A NARRATIVE REVIEW
DOI:
https://doi.org/10.47820/recima21.v6i6.6466Palavras-chave:
Migraine art. Headache. Migraine diagnostic tool. Aura. Drawing. Medical education.Resumo
Migraine verbal description poses great difficulty, since it is a subjective experience. This narrative review aimed to gather the main representative artistic patterns of the clinical manifestations of migraine and demonstrate their applicability in medical education and clinical practice as an auxiliary tool for this diagnosis. The following databases were searched: Medical Literature, Analysis, and Retrieval System Online (MEDLINE), Scientific Electronic Library Online (SciELO), Latin American and Caribbean Health Sciences Literature (LILACS), and Portal de Periódicos da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior do Ministério da Educação (CAPES/MEC). The following descriptors were combined in each database using Boolean operator: “Medicine” AND “Art” AND “Migraine”; “Medicine in the arts” AND “Migraine”; “Migraine” AND “Arts” (English); “Medicina” E “Arte” E “Migrânea”; “Medicina nas artes” E “Migrânea”; “Migrânea” E “Artes” (Portuguese); “Medicina” Y “Arte” Y “Migraña”; “Medicina en las artes” Y “Migraña”; “Migraña” Y “Artes” (Spanish). In addition, visual depictions of the main clinical manifestations of migraine were searched on the website Wellcome Collection to illustrate this study. In total, 29 articles were selected, as well as nine images that belong to the Migraine Art Competition Collection. Auras were the most commonly portrayed phenomena, and scotomas, fortification spectra, corona phenomenon, the splitting of the body image, microsomatognosia, and macrosomatognosia were described and analyzed. The representations of the unilateral aspect of migraine and the prodromal and post-prodromal symptoms such as nausea, photophobia, and phonophobia were also common.
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