ORAL PRESENTATION Open Access O002. Did Picasso and De Chirico really suffer from migraine auras? Carlo Lisotto1*, Federico Mainardi2, Ferdinando Maggioni1, Giorgio Zanchin1 From Abstracts from the 1st Joint ANIRCEF-SISC Congress Rome, Italy. 29-31 October 2015 Background Some authors have suggested that migraine aura may have represented an inspiration for unusual and recurrent fea- tures of paintings by Pablo Picasso and Giorgio De Chirico. A migraine hypothesis was formulated for Picasso’s art, based on aura-like patterns, such as illusory vertical split- ting and shifts of the eyes, even if the authors explicitly sta- ted that they did not find any supportive information in Picasso’s biographies [1]. As for De Chirico, the jagged effect of water, the spiky silhouette of a knight, a black sun motif intruding into an interior scene were interpreted to be evoked by aura. Other descriptions included sparkling, dazzling, dancing or flickering lights, fire rings, stars, and dancing lines [2]. We looked for further evidence to exam- ine in depth this hypothesis. Materials and methods We read Picasso’s biographies and De Chirico’s autobio- graphy, evaluating their extremely numerous pictorial works, in their different life artistic phases. Results In Picasso’s biographies there is no report of the artist suffering throughout his long life from any particular ill- ness, migraine included. Thus, the phenomenal similarity of his works with certain hallucinatory form constants, such as mosaic vision, illusory vertical splitting or meta- morphopsia, cannot permit to infer the presence of inspiring visual experiences of a specific aetiology such as migraine, if such diagnosis is not supported by additional evidence. The style characterizing the portraits of female models that could resemble migraine aura seems to be just an evolution from the previous Cubist period. As for De Chirico, he started painting the black sun motifs when he was over 80, an age when the occurrence of aura is extremely unusual. Conversely, other authors objected that the available evidence gathered from the artist’s autobiography suggests a diagnosis of epilepsy. De Chirico did not describe typical migraine headaches and several of his ictal symptoms are rare in migraine, but frequently encountered in temporal lobe epilepsy [3]. Conclusions To prevent an inflated use of the said diagnostic attribu- tion in pathographic studies of celebrated artists, a metho- dological standard should be fulfilled in studies of migraine aura as artistic inspiration. We do not wish to subscribe to neurological reductionism, but we believe that art criticism should ideally suggest neurobiological links between the cluster symptoms of a given artist and the key characteristic of the artist’s style. The diagnosis of migraine should be supported by semi-/autobiographical writings and/or the observations of contemporaries in addition to the evidence derived from the analysis of the artworks. Authors’ details 1Headache Centre, Department of Neurosciences, University of Padua, Padua, Italy. 2Headache Centre, Hospital of Venice, Venice, Italy. Published: 28 September 2015 References 1. Ferrari MD, Haan J: Migraine aura, illusory vertical splitting, and Picasso. Cephalalgia 2000, 20(8):686. 2. Fuller GN, Gale MV: Migraine aura as artistic inspiration. BMJ 1988, 297(6664):1670-1672. 3. Blanke O, Landis T: The metaphysical art of Giorgio de Chirico. Eur Neurol 2003, 50(4):191-194. doi:10.1186/1129-2377-16-S1-A192 Cite this article as: Lisotto et al.: O002. Did Picasso and De Chirico really suffer from migraine auras? The Journal of Headache and Pain 2015 16 (Suppl 1):A192. * Correspondence: carlo.lisotto@aas5.sanita.fvg.it 1Headache Centre, Department of Neurosciences, University of Padua, Padua, Italy Full list of author information is available at the end of the article Lisotto et al. The Journal of Headache and Pain 2015, 16(Suppl 1):A192 http://www.thejournalofheadacheandpain.com/content/16/S1/A192 © 2015 Lisotto et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http:// creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/ zero/1.0/) applies to the data made available in this article, unless otherwise stated. mailto:carlo.lisotto@aas5.sanita.fvg.it http://creativecommons.org/licenses/by/4.0 http://creativecommons.org/licenses/by/4.0 http://creativecommons.org/publicdomain/zero/1.0/ http://creativecommons.org/publicdomain/zero/1.0/ Background Materials and methods Results Conclusions Authors’ details References