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Published on: June 2, 2014
Refractory migraine and chronic migraine: pathophysiological mechanisms
Peter J Goadsby1, Richard Hargreaves
1Department of Neurology, University of California, San Francisco, San Francisco, CA, USA.
Refractory migraine causes are unknown despite advances in headache treatment. Future research needs medical imaging, experimental medicine, and clinical observation for new therapies.
Area of Science:
- Neurology
- Neuroscience
- Headache Medicine
Background:
- Primary headaches and their treatments are increasingly understood.
- However, the etiology of refractory migraine remains elusive.
Purpose of the Study:
- To explore potential contributing factors to refractory migraine.
- To identify future research directions for understanding and treating this condition.
Main Methods:
- Review of potential genetic, structural, functional, and pharmacological factors.
- Consideration of medical imaging technologies.
- Discussion of clinical experimental medicine and observational studies.
Main Results:
- The underlying causes of refractory migraine are currently unknown.
- Several potential factors including genetic, structural, functional, and pharmacological aspects are considered.
Conclusions:
- Further understanding of refractory migraine necessitates advanced medical imaging.
- Clinical experimental medicine studies and astute clinical observations are crucial for developing novel therapeutic strategies.
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