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Migraine, subarachnoid haemorrhage, thunderclap headache and vertigo – Differential diagnosis in Florence+The Machine’s “DRUMMING SONG”

2015; Elsevier BV; Volume: 357; Linguagem: Inglês

10.1016/j.jns.2015.08.833

1878-5883

Francisco Branco Germiniani, Thiago Henrique Roza, M. Kahakura Pedro, Élcio Juliato Piovesan, H. Teive,

Neurology and Historical Studies

Background: Fictional literature and poetry can provide us with remarkable representations of neurological signs and symptoms and even give us a hint as to possible diagnosis. Similarly, this can be applied to the lyrics of indie/pop songs. Objective: To analyze the lyrics of Florence + The Machine's song "DRUMMING SONG" and how these could be interpreted as migraine, subarachnoid haemorrhage, thunderclap headache or even bouts of vertigo. Material and methods: The authors reviewed the lyrics of the song and how they can represent symptoms suggestive of different neurological conditions, namely migraine, subarachnoid haemorrhage, thunderclap headache or vertigo, discussing the possible differential diagnosis. Results: In Florence + The Machine's "DRUMMING SONG", the narrator/patient reports what could be a throbbing, disabling headache, with loss of balance. Careful analysis and interpretation of lyrics provides us with diverse symptomatic descriptions that is used to formulate four possible differential diagnosis: migraine, subarachnoid haemorrhage, thunderclap headache or bouts of vertigo. Conclusions: Not only traditional fictional texts, but also lyrics for indie/pop songs can translate abnormal neurological symptoms and signs. In this case, we discuss the differential diagnosis among four different conditions: migraine, subarachnoid haemorrhage, thunderclap headache and vertigo.