Hi, fellow scintillators, I've been having SSs (thanks for the
abbreviation) without any accompanying symptom or malfunction for
almost 50 years, and have tried to find something that sets them off,
so far in vain. We just have to realize the enormous diversity of
human beings and the ways our brains work, despite strong
similarities. I have a splendid family doctor, a highly intelligent
and observant man, who suggested that Naproxen tends to inhibit them.
I took it as an antinflammatory for other reasons (arthritis) for
years, during which time the incidence went down from an average of
once in 4-6 weeks to about one a year. Then he decided that my
somewhat challenged kidneys would be better off if i went off naproxen
and just took acetaminophen (Tylenol) instead. Immediately, I had a
week in which I had SS almost every day! They diminished quickly, now
back to the old pre-naproxen frequency.
Recently, I had a new phenomenon, of which my doctor had never heard.
The desire to share it and see if anyone else knows of it caused me to
find this group. A few months ago, early in the afternoon, I underwent
a medical procedure, a medial branch radiofrequency ablation, in a
fairly successful to get rid of chronic low-level pain in my right
hip. Since the successful replacement of that hip joint, almost three
years ago, I have been bothered by what seems like phantom pain--that
is, it feels as if it is in the joint, which now has no nerves and is
made of steel & plastic. My physiatrist suggested the ablation and we
tried it first 18 mos. ago, with only fleeting (placebo?) relief. The
doc. puts a thin needle into the lower back near the backbone, guided
by xray; when he thinks the tip is at the nerve coming from the hip
which is dedicated to bringing pain sensation, he injects novocaine.
You then get up, walk about, and see if it helps. It seemed to; so
on another day he repeated the procedure, this time with a needle with
a tiny microwave oven at its tip! That is, it generates microwaves,
which produce heat, long enough to cook a section of the pain nerve,
which supposedly kills it. Since it is practically impossible to see
nerves via xray, it's a wonder that it sometimes works; when the
relief the first time proved fleeting, he proposed trying it again on
May 12. This time it did succeed; I can now do things that were too
painful before like stand on my right leg alone. Incidentally, both
times, I had a quick and uneventful recovery from the ablation, no
pain and no need for any medication.
Sorry for the long digression, but it does seem relevant. For, that
evening (after the repeat operation) I had a SS, which could have
been a coincidence, but it was an extraordinary one. After a few
minutes, when the fortification pattern became visible as a C on the
left side of foveal vision (my SS never seriously interferes with
reading, though it is distracting!), there was something I had never
seen before: a little red spot inside the pattern at 1 o'clock
position. As usual, the whole thing grew in size and moved to the
periphery, but the spot quickly took on the shape of an almost
perfect square! It did not scintillate; 3 of the sides were perfect
straight lines and the corners were perfect right angles, but the 4th
(inner, lower) angle was vague. With eyes open it tended to look blue-
green; with eyes closed, bright red, acting in that way like an
afterimage though it was clearly not; the golden part kept the same
color. The whole pattern continued the usual course, enlarging--the
square along with it--and moved off to the left where it finally
disappeared.
But then an hour or so later, starting about 10:50 PM, I had a second
SS, this time on the right and a reverse C, the red spot in the same
place, but this time not square or sharp but more of a diffuse blob
now accompanied by a bright red thin lining of the whole inner concave
surface. By 11 PM, it was astonishingly brilliant, but soon faded as
it expanded and moved off. The golden scintillating part's C shape
began to break up, with only a hint of the red as it moved out of the
visual field.
I suppose that my use of technical language gives away the fact that I
am a retired (age 91) research psychologist. Amusingly, I had my
first experience of SS while I was doing library research on
subjective visual phenomena for what was to be my presidential address
to the division of clinical psychology of the American Psychological
Association (later [1964, in The American Psychologist] published as
Imagery: The Return of the Ostracized). It was shortly after the
death of my mentor David Rapaport, a distinguished psychoanalytic
psychologist who had told me about his own SS experiences, which is
how I learned of them. Being a still pretty orthodox Freudian at the
time, I put my own SS down to identification with the lost father
figure! It also happens that one of my teachers in graduate school,
Karl Lashley, wrote one of the definitive papers on SS, from which I
learned the term 'fortification pattern' for the zig-zags.
I hope that other members of the group will join in and tell about it
if they have experienced anything like my red square.
Bob Holt
Truro, MA