Migraine

Migraine (pronounced mahy-greyn or mee-greyn)

(1) An extremely severe paroxysmal headache, usually confined to one side of the head and often associated with nausea; hemicrania.

(2) A neurological condition characterised by such headaches

1325–1375: From the Middle English, from the Old French migraigne, from (as an imperfect echoic) the Medieval Latin hēmicrānia (pain in one side of the head, headache) and the Greek hemikrania, the construct being hemi (half) + kranion (skull).  The earliest form in English was megrim or mygrame with the spelling revised in 1777 to adopt the French form.  It’s never been clear if any of the European forms are a calque of the Egyptian gs-tp (headache), a construct of gs (half) + tp (head); the link between the Egyptian magical papyri and the Greek hēmikranía (ἡμικρανία) is undocumented and could be coincidental.  The corrupt form megrim was in common use between the fifteenth & early twentieth centuries is now obsolete although it did for a while endure in its secondary senses of "depression; low spirits" (and curiously, "a whim or fancy").  The pronunciation mee-greyn is said to be most prevalent in Scotland.  Migraine is a noun and migrainoid & migrainous are adjectives; the noun plural is migraines.

Technically, a migraine is a severe, often recurring, headache, usually affecting only one side of the head, characterized by sharp pain and often accompanied by nausea, vomiting, sensitivity to light, and visual disturbances.  Vasodilation in the brain causes inflammation which results in pain, but the exact cause of migraine remains unknown.  In casual use there’s a tendency, not restricted to hypochondriacs, to use word to describe even mild headaches.

Donald Trump, Crooked Hillary Clinton & Boris Johnson demonstrate the single-handed reaction to a migraine.

Despite advances, the exact causes of migraines are yet fully to be understood and although there's a consensus migraines are complex neurological conditions triggered by various factors, it may be they are inherent to the nature of being human and while treatments may improve, many neurologists have cautioned there may never be a “cure” although it’s noted a susceptibility to migraines seems to run in families, suggesting there may be a genetic predisposition.  At the physical level, abnormalities in the brain's nerve pathways and chemical signaling are believed to be involved, changes in the levels of neurotransmitters such as serotonin, dopamine, and norepinephrine suggested as causative agents.  The triggers appear to vary between individuals although the most commonly mentioned include foods such as aged cheeses, chocolate, caffeine, and artificial sweeteners, alcohol, stress, hormonal changes (seemingly only in women), changes in sleep patterns, sensory stimuli (bright lights, loud noises, strong odors), weather changes, and certain medications.  Critical too appear to be (1) abnormalities in the brainstem and its interactions with the trigeminal nerve (a major pain pathway) and (2) fluctuations in blood flow to the brain, including constriction and dilation of blood vessels.  Interestingly, as varied as the causes may be, so too is the effectiveness of the treatments and doctors frequently report a regimen some patients finds most efficacious might achieve nothing on others reporting the same symptoms, and possible triggers.

Lindsay Lohan demonstrates the two-handed reaction to a migraine although, given the migraine typically afflicts only one side of the head, this may be a more common response to the (usually) less severe but more widespread headache.

The Migraine Pose

A staple of portrait photography for decades, the migraine pose isn’t new but Instagram is a big-machine database and it’s now easy to identify trends and spikes in techniques.  The migraine look seems to have peaked in late 2018 and although still often posted, the historic moment of the trend seems to have passed.  The pose is achieved by using one hand to pulling the face up by the temples, a look reminiscent of someone suffering a migraine.  Classically done with one hand because the headache from which it borrows the name usually is localised to one side of the head, models adopt the look because it tightens the face, renders cheekbones more prominent and lifts the brows, a kind of instant facelift.  The hand may be placed on the temples, forehead or crown but should be done with a light touch, not a gripping of the head or hair.  Models also caution neophytes not to neglect the hands and nails because nothing spoils even a perfectly composed photograph like a poor manicure.

Gigi Hadad: The perfect migraine pose by a professional model.  With that bone structure and flawless skin, she doesn't need the artifice the technique can lend those falling short of her structural ideal but the pose adds variety to a photo shoot and photographers still like it.

Barnaby Joyce (b 1967; thrice (between local difficulties) deputy prime minister of Australia 2016-2022):  Although Mr Joyce seems frequently to adopt the migraine pose, the consensus is it's not an attempt to make himself more attractive in photographs and it's likely he actually suffers headaches.  These could be caused by many things.

Of course, Mr Joyce may also have been the cause of migraines in a few of his colleagues.  He's pictured here in 2018 with Malcolm Turnbull (b 1954; Australian prime-minister 2015-2018).