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- W2019652092 abstract "Attacks of scintillating scotoma usually begin between the ages of 30 and 50 years and sometimes continue to recur indefinitely. The positive part of the scotoma, consisting typically of flickering colored and black zigzag lines, is followed by a negative part as it spreads out centrifugally over a definite portion of the patient's visual field. This process, which regularly takes about 25 minutes, is here analyzed with respect to the cerebral structures concerned. It is possible to calculate the rate at which the functional disturbance in the occipital lobe must be propagated in order to account for the rate at which the visual phenomena progress. There must be some uniform vascular change moving along the calcarine artery and successively affecting the parts supplied by its branches; in cases of migraine the change must move further on to affect adjacent parts. The significance of these attacks depends on the age of onset, and if they begin in persons of 60 years of age or older the usually harmless prognosis must be more guarded." @default.
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- W2019652092 date "1958-08-09" @default.
- W2019652092 modified "2023-09-25" @default.
- W2019652092 title "SCINTILLATING SCOTOMA" @default.
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- W2019652092 doi "https://doi.org/10.1001/jama.1958.02990320004002" @default.
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