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Published on: June 2, 2014
Endocrine function is altered in chronic migraine patients with medication-overuse
Innocenzo Rainero1, Margherita Ferrero, Elisa Rubino
1Department of Neuroscience, Neurology III--Headache Center, University of Turin, Via Cherasco 15, 10126 Torino, Italy.
Medication overuse in chronic migraine patients impairs endocrine function, specifically affecting growth hormone and cortisol responses. This suggests hormones play a role in chronic migraine development.
Area of Science:
- Endocrinology
- Neurology
- Pharmacology
Background:
- Chronic migraine is often linked to overuse of acute symptomatic medications.
- Common migraine drugs can cause endocrine disturbances.
- The specific endocrine effects of medication overuse in chronic migraine are not well understood.
Purpose of the Study:
- To investigate the impact of analgesic overuse on endocrine function in patients with chronic migraine and medication-overuse headache (CM-MOH).
Main Methods:
- 18 patients with CM-MOH and 18 healthy controls underwent intravenous administration of GHRH, hCRH, and TRH.
- Plasma levels of GH, TSH, ACTH, and cortisol were measured over 90 minutes post-administration.
Main Results:
- GH response to GHRH was significantly lower in CM-MOH patients compared to controls.
- ACTH and cortisol levels were significantly higher in CM-MOH patients after hCRH administration.
- A correlation was found between disease duration and altered hormonal responses.
Conclusions:
- Corticotropic and somatotropic functions are significantly impaired in CM-MOH patients.
- Hormonal imbalances may contribute to the development of chronic migraine.
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