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An update on migraine: current understanding and future directions

Migraine is a common brain disorder with high disability rates which involves a series of abnormal neuronal networks, interacting at different levels of the central and peripheral nervous system. An increase in the interest around migraine pathophysiology has allowed researchers to unravel certain neurophysiological mechanisms and neurotransmitter involvement culminating in the ...

Calcitonin gene-related peptide and pain: a systematic review

Background Calcitonin gene-related peptide (CGRP) is widely distributed in nociceptive pathways in human peripheral and central nervous system and its receptors are also expressed in pain pathways. CGRP is involved in migraine pathophysiology but its role in non-headache pain has not been clarified. Methods We performed a systematic literature search on PubMed, Embase and ...

Current Approaches to Neuromodulation in Primary Headaches: Focus on Vagal Nerve and Sphenopalatine Ganglion Stimulation

Facility, King's College London , London , UK 3 Peter J. Goadsby Neuromodulation is a promising, novel approach f o r t h e t r e a t m e n t o f p r i m a r y h e a d a c h e d i s o r d e r s ... . Peter J. Goadsby declares grant support and personal fees from Allergan, eNeura Inc. and Amgen Inc.; he also declares personal fees from Autonomic Technologies Inc., Alder Biopharmaceuticals, Pfizer Inc

Postoperative hemicrania continua-like headache - a case series

Background Hemicrania continua (HC) is a rare chronic headache disorder, typically accompanied by cranial autonomic features and responding to therapeutic doses of indomethacin. The pathophysiology of hemicrania continua is not fully understood. Findings We report a series of three patients who developed a continuous hemicranial headache after cranial surgery. Each case presented a ...

The origin of nausea in migraine–A PET study

Background Nausea is a common and disabling symptom of migraine. The origin of nausea is not well understood although functional connections between trigeminal neurons and the nucleus tractus solitarius may explain occurrence of nausea with pain. However, nausea occurs as a premonitory symptom in about a quarter of patients, suggesting that a primary brain alteration unrelated to ...

Single-pulse transcranial magnetic stimulation (sTMS) for the acute treatment of migraine: evaluation of outcome data for the UK post market pilot program

Background Single pulse transcranial magnetic stimulation (sTMS) is a novel treatment for acute migraine. Previous randomised controlled data demonstrated that sTMS is effective and well tolerated in the treatment of migraine with aura. The aim of the programme reported here was to evaluate patient responses in the setting of routine clinical practice. Methods Migraine patients ...

New onset migraine with aura after treatment initiation with ivabradine

Background Migraine with aura is a complex neurological disorder modeled in animals by cortical spreading depression. It is less usual to find complete animal models for the disease so any opportunity to test a human effect back at the bench is welcome. Findings We report the case of a 24 year old woman who developed new onset episodic migraine with visual aura shortly after ...

Enhancing cognitive-behavioural therapy for recurrent headache: design of a randomised controlled trial

Background We have argued against the traditional approach of counselling avoidance of all triggers of headaches and migraine. Problems with this approach include the impossibility of avoiding all triggers and the high costs associated with trying to do so, and that avoidance could lead to reduced tolerance for the triggers. We have developed an alternative approach called Learning ...

Migraine among medical students in Kuwait University

Background Medical students routinely have triggers, notably stress and irregular sleep, which are typically associated with migraine. We hypothesized that they may be at higher risk to manifest migraine. We aimed to determine the prevalence of migraine among medical students in Kuwait University. Methods This is cross-sectional, questionnaire-based study. Participants who had two ...

Migraine misdiagnosis as a sinusitis, a delay that can last for many years

Background Sinusitis is the most frequent misdiagnosis given to patients with migraine. Therefore we decided to estimate the frequency of misdiagnosis of sinusitis among migraine patients. Methods The study included migraine patients with a past history of sinusitis. All included cases fulfilled the International Classification of Headache Disorders, 3rd edition (ICHD-III- beta) ...

Headache

0 Peter J. Goadsby, M.D. , Ph.D., D. Sc . Headache Group Department of Neurology University of California , San Francisco San Francisco, California Migraine is a highly disabling,1 common,2 and ... certainly be welcomed by many migraineurs. Disclosure For the last 3 years, Peter J. Goadsby has been a consultant, advisor, and/or collaborator for Advanced Bionics, Allergan, Almirall, Amgen, ATI

Update on Hemicrania Continua

Dr. E. Cittadini: none; Dr. Peter J. Goadsby has served as a board member for Allergan; CoLucid Pharmaceuticals; MAP Pharmaceuticals, Inc.; Merck, Sharpe, and Dohme; Neuralieve; NeurAxon; ATI

Migraine pathogenesis and state of pharmacological treatment options

Migraine is a largely inherited disorder of the brain characterized by a complex, but stereotypical, dysfunction of sensory processing. Often the most obvious clinical symptom is head pain, but non-headache symptoms such as photophobia, phonophobia and nausea are clearly part of the typical presentation. This review discusses the current pathophysiological concepts of migraine and ...

Acute Migraine Therapy: New Drugs and New Approaches

Teshamae S. Monteith Peter J. Goadsby 0 0 Department of Neurology, UCSF Headache Center , 1701 Divisadero Street, Suite 480, San Francisco, CA 94115, USA The conceptual shift of our understanding

The Migrainous Brain: What You See Is Not All You Get?

? Peter J. Goadsby - Mdisorder [1] that affects about igraine is an episodic brain 15 percent of the population [2,3]. The disorder can be highly disabling [4], and has been estimated to be the most ... Competing Interests: The author has declared that no competing interests exist. Copyright: 2006 Peter J. Goadsby. This is an open-access article distributed under the terms of the Creative Commons