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The same considerations apply to pulse-rate: an initial tachycardia is likely to be followed by a protracted bradycardia, the latter sometimes associated with significant hypotension and postural faintness or syncope. Observant
The most important emotional colourings during the clinically-recognised portion of a common migraine are states of anxious and irritable hyperactivity in the early portions of the attack, and states of apathy and depression in the bulk of the attack.
Various forms of paroxysmal visceral activity may accomplish the same end. Violent vomiting is the classical example, but other activities may be equally effective.
