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Related Concept Videos

Cushing Syndrome II: Pathophysiology01:19

Cushing Syndrome II: Pathophysiology

Cortisol production is normally governed by the hypothalamic–pituitary–adrenal (HPA) axis, which maintains hormonal balance through tightly regulated feedback mechanisms. Disruption of this regulatory system is central to the development of Cushing syndrome, whether the excess cortisol originates from external medications or internal pathology. Persistent cortisol elevation alters metabolism, immune function, and endocrine signaling, producing the characteristic clinical features of the...
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Hypothalamic-Pituitary Axis

The response to stress—be it physical or psychological, acute or chronic—involves activation of the Hypothalamic-Pituitary-Adrenal (HPA) axis. The HPA axis is part of the neuroendocrine system because it involves both neuronal and hormonal communication. Its function is to regulate homeostatic systems—metabolic, cardiovascular, and immune—providing the necessary means to respond to a stressor.
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Cushing Syndrome I: Introduction

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Related Experiment Video

Updated: Jul 12, 2026

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
10:39

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache

Published on: June 2, 2014

Plasma cortisol levels in migraineurs between attacks.

Cağatay Oncel1, Buket Oflazoğlu, Hulki Forta

  • 1Department of Neurology, Pamukkale University, Denizli, Turkey. cagatay_oncel@yahoo.com

Agri : Agri (Algoloji) Dernegi'Nin Yayin Organidir = the Journal of the Turkish Society of Algology
|September 1, 2007
PubMed
Summary

This study found no significant difference in plasma cortisol levels between migraine patients and healthy individuals between attacks. The hypothalamic-pituitary-adrenal axis does not appear to play a role in migraine pathophysiology based on these cortisol measurements.

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Published on: June 16, 2023

Area of Science:

  • Endocrinology
  • Neurology
  • Migraine Research

Background:

  • The hypothalamic-pituitary-adrenal (HPA) axis is a key regulator of the stress response.
  • Dysregulation of the HPA axis has been implicated in various neurological and psychiatric conditions.
  • The specific role of the HPA axis in migraine pathophysiology remains unclear.

Purpose of the Study:

  • To investigate the potential involvement of the hypothalamic-pituitary-adrenal axis in migraine.
  • To compare plasma cortisol levels in migraine patients and healthy controls during the interictal period.

Main Methods:

  • Blood samples were collected from 25 migraine patients and 24 healthy controls.
  • Plasma cortisol levels were measured between 8:30 AM and 9:30 AM.
  • Statistical analysis was performed to compare cortisol levels between the two groups.

Main Results:

  • No statistically significant difference was observed in plasma cortisol levels between migraine patients and the control group.
  • Cortisol levels in the interictal period did not show a significant association with migraine.

Conclusions:

  • The findings suggest that the hypothalamic-pituitary-adrenal axis, as assessed by plasma cortisol levels between attacks, does not play a significant role in migraine.
  • Further research may be needed to explore other aspects of HPA axis function or different time points in relation to migraine.