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Papers of the Week


Papers: 28 Sep 2019 - 4 Oct 2019

PAIN TYPE:
Migraine/Headache


2019 Nov


Neurol Clin


37


4

An Update: Pathophysiology of Migraine.

Authors

Goadsby PJ, Holland PR
Neurol Clin. 2019 Nov; 37(4):651-671.
PMID: 31563225.

Abstract

Migraine is the most common disabling primary headache globally. Attacks typically present with unilateral throbbing headache and associated symptoms including, nausea, multisensory hypersensitivity, and marked fatigue. In this article, the authors address the underlying neuroanatomical basis for migraine-related headache, associated symptomatology, and discuss key clinical and preclinical findings that indicate that migraine likely results from dysfunctional homeostatic mechanisms. Whereby, abnormal central nervous system responses to extrinsic and intrinsic cues may lead to increased attack susceptibility.