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Synaesthesia
In migraine, synaesthesia may occur as a visual aura characterised by a cross-referencing of senses whereby a stimulus in one sensory field leads to a hallucination in another sensory field. For example, sounds might be "seen", as described by Miss J.R.B. in the case report by Podoll and Robinson (2002) and in the following first-hand accounts from likely (anarch), self-reported (Melvin Rader, mick) or definite migraine sufferers (Linda Anderson and Susan McCallen).
"Not too long ago, I had a very interesting time after being awake for about thirty hours without eating anything. When I was working, walking around, etc., everything was normal, but as I relaxed and started to fall into that dazed, half-dreamy state I get after staying up too long, I started to see curious things -- bright little lights like you see staring at blue sky and the wiggles and wavers that come after looking fixedly at some patterned surface, but they were much more prominent than usual. They were fun for a while, but then I noticed something even more interesting: mild audio-visual synaesthesia -- the lights and patterns were definitely affected by the sounds I was hearing. It was especially noticeable with my eyes closed. Cars passing in the street would make big geometric floral patterns flare up on my eyelids, then die away, and smaller sounds made the lights flicker and jump. I'd never felt anything like it before, and haven't since, but it was really cool."
(anarch, Newsgroups: alt.drugs, Subject: Sleep deprivation experiences, July 16, 1993)
(Response to anarch's previously quoted entry to the Usenet Newsgroups) "Sounds a lot like what I get with a migraine... I've never gotten that from not sleeping. But then I've never tried not eating. Interesting..."
(Melvin Rader, Newsgroups: alt.drugs, Subject: Sleep deprivation experiences, July 17, 1993)
migraine anyone?
By mick
no one who hasn't had migraine really understands that it's not just a headache. migraine is a "whole-body experience" of total pain and malaise. i'm surfacing after a wicked slamming brain-buster.
anyone else do the migraine dance? i have the prodromal warnings the scintillating scotomata designs of light superimposed over the world, and that usually gives me time to take a med to avoid the worst of the pain, nausea and synesthesia.
sometimes it doesn't work. during the worst, i understand why people kill themselves to get away from the pain. there have been times i beat my head against the wall, just to change the pain.
but it's over .. and i am again left alive, and sooo sensitive. sounds have colours and tastes. tastes shard themselves inside my bones. the light and the air have weight and push at me. my skin flies.
synesthesia is the reward for a migraine survived.
pretty cool.
(http://www.baseboard.net/forums/showthread.php?threadid=9357, July 25, 2003)
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"Also my senses get confused [during a migraine attack]. Sometimes I think I can 'see' sounds or 'hear' colors, in fact it seems that colors and sounds share the same 'tones' and I'm not 100% sure of which really comes first."
(Susan McCallen, Email to Klaus Podoll, February 12, 2003; additions in square brackets by Klaus Podoll)

Linda Anderson, Cat Fight, oil crayon on sandpaper (21" x 28"), 1984. © 2004 Linda Anderson
"My visual auras were there from the very first headache at 12 years old. The ability to paint came to me all at once in 1982. Before that I'd never painted. I've never had any art training. The skill of sewing came the same way in the 70's. My first headache painting was about 1984. That was Cat Fight. Once during a migraine our cats were fighting and their noise somehow became integrated with the shapes of my migraine aura [i.e. auditory-visual synaesthesia]. Cat Fight was painted during this attack. When I thought of making into pictures the beautiful colors and shapes appearing before my eyes, there seemed to be an urgency to put it down. I had a need to paint out the pain of the headache to come - I guess that was my thinking. Another thing: While the aura always came in different moving shapes, I don't recall it in bright bold colors or that outside noises could take a color and shape - not until the Cat Fight. That's when I believe it first took me away to that other place."
(Linda Anderson, Email to Klaus Podoll, December 31, 2002; additions in square brackets by Klaus Podoll)
Pain-colour synaesthesia experienced during acute migraine attacks by a synaesthetic migraineur
"I have synaesthesia. Letters and numbers and whole words have colour. Some numbers have personality. Voices, music and noises in general have colour, movement and texture. Certain tastes have colour, texture and shape. Smell has colour and texture. Physical feelings - especially pain, has colour, movement, shape and texture.
I also get migraines, they are severe and I can honestly say that they are the bane of my existence. They are always on the right side of my head. The pain is intense. The colours of the pain vary according to the intensity of the pain and the movement and texture of the colours work in accordance to the throbbing. What I am interested to learn more about is if there is a connection between actual synaesthesia and migraines. (Please note that I have and have always had synaesthesia - it's present all the time regardless of my migraines but the colours and texture of some smells and sounds is more! 'there' during an attack. Due to the intense pain and sickly feeling of the attack, I am consumed by the colour, movement shape and texture of this as well. I feel the colours etc, from the pain inside me whereas that from the smell and noise feels external.)"
(Juliet, Email to Klaus Podoll, April 22, 2005)
"My migraines can be very colourful and full of shapes - they are usually the darker shades of green and purple which blend together, separate, overlap etc... like oil on water while the shapes form out of black and maroon on top of this - it is a very 3D experience hard to describe and no two migraines are ever the same. One thing I can say that they all have in common is that there are never colours like yellow, pink, white or any colour mixed with white."
(Juliet, Email to Klaus Podoll, April 25, 2005)
"As with all my other types of synaesthesia, it is simply to me something that was always there and I would probably have never acknowledged it as a 'phenomenon' if I hadn't happened upon a TV documentary about synaesthesia about 9 years ago.
You call it pain-colour synaesthesia but I experience synaesthesia sensation from physical feelings in general - not just pain. For example temperature. Right now I am in my office I feel warm except for my feet which feel a little cold. To me right now, my body is orange but my feet are a hazy grey/blue.
What I do find interesting is that I remember some painful experiences not so much by the pain but by the synaesthetic experience that was induced by the pain. For example, when I was 12 years old I had a gymnastics accident where I cut my shin badly - right down to the bone and had to have 18 stitches in my leg. I had to stay in bed for over 2 weeks with my leg raised, and during this time while the wound was healing, there was a day where the pain was particularly bad - I think it had something to do with the blood flow but every thirty seconds or so, it would throb and sting and I can see the colours of the pain so clearly still and can describe it as oily black and dark green space punctuated by neon purple tiny balls or sparks which would appear with the stinging prickly sensation. Still, to this day, whenever I think about that accident or if anyone questions me about the scar on my leg, these colours and shapes arise."
(Juliet, Email to Klaus Podoll, April 25, 2005)
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Are you acquainted with similar phenomena associated with your migraine attacks? Please contact Dr Klaus Podoll if you wish to share and discuss your experiences. |
References
Podoll K, Robinson D. Auditory-visual synaesthesia in a patient with basilar migraine. J Neurol 2002; 249: 476-477.
Author: Klaus Podoll
Last modification of this page: Monday March 28. 2005
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