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The sum of the precedential enquiry to this point shows Roe `s underpinnings unweakened in any way affecting its central holding. While it has engendered

The sum of the precedential enquiry to this point showsRoe`s underpinnings unweakened in any way affecting its central holding. While it has engendered disapproval, it has not been unworkable. An entire generation has come of age free to assumeRoe`s concept of liberty in defining the capacity of women to act in society, and to make reproductive decisions; no erosion of principle going to liberty or personal autonomy has leftRoe`s central holding a doctrinal remnant;

861

*861Roeportends no developments at odds with other precedent for the analysis of personal liberty; and no changes of fact have rendered viability more or less appropriate as the point at which the balance of interests tips. Within the bounds of normalstare decisisanalysis, then, and subject to the considerations on which it customarily turns, the stronger argument is for affirmingRoe`s central holding, with whatever degree of personal reluctance any of us may have, not for overruling it.

Question 1

How often does migraine headache present unilaterally?

Question 2

Are ergotamine-containing preparations contraindicated in the

treatment of resistant migraine in hypertensive patients? Can I give it,

under close supervision of the blood pressure, in the emergency room?

Question 3

Should ergotamine be given to abort a migrainous attack in a pregnant

female? If not, what is the recommended alternative?

Question 4

What is the frequency of migrainous attacks above which prophylactic

therapy should be commenced? If commenced, for how long should

the treatment be continued and what should be done if frequent attacks

recur after discontinuation of the prophylactic treatment?

Question 5

Is verapamil more effective in migraine prophylaxis than flunarizine?

Question 6

Are imipramine and fluoxetine effective as a prophylactic treatment

against migraine? Are they as effective as amitriptyline?

Question 7

1. Is sodium valproate more effective than valproic acid with regard to

migraine prophylaxis and anti-epileptic activity?

2. Is carbamazepine effective as a prophylaxis against migraine?

Question 8

Can flunarizine, diltiazem and nifedipine be used in the treatment of a

cluster headache and do they have the same efficacy as verapamil?

Question 9

If cluster headache migraine is confidently diagnosed in general practice,

is it worth trying lithium prophylaxis or should this commence at

secondary care level? Which other treatment is recommended?

Question 10

Is ergotamine effective in preventing an attack of cluster headache?180

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