Goggle Migraine

To the Editor: We would like to report another malady associated with the exercise boom. I (A.P.) am a 36-year-old neurologist who began swimming three times per week to combat aging. Two months later I noted the onset of throbbing bitemporal headaches beginning one to two hours after exercise and occurring only on the days when I swam. The headaches became worse over a period of several weeks. I had experienced only two previous migraine headaches, both occurring in my teens. During the third week of symptoms the headaches were preceded by a flickering scotoma in the macular region.