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Updated: Jun 6, 2026

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Published on: August 14, 2015
Oxcarbazepine does not suppress cortical spreading depression
Ulrike Hoffmann1, Ergin Dileköz, Chiho Kudo
1Massachusetts General Hospital, Harvard Medical School, 149 13th Street, Charlestown, MA 02129, USA.
Oxcarbazepine did not suppress cortical spreading depression (CSD) in rats, unlike valproate. This confirms CSD as a therapeutic target for migraine prophylaxis and validates preclinical screening models.
Area of Science:
- Neuroscience
- Pharmacology
Background:
- Cortical spreading depression (CSD) is the basis of migraine aura and may trigger headache.
- CSD is implicated as a common therapeutic target for migraine prophylaxis.
Purpose of the Study:
- To evaluate spreading depression susceptibility as a preclinical drug screening tool.
- To test oxcarbazepine, an anti-epileptic drug not effective in migraine prophylaxis, for its effect on CSD.
Main Methods:
- Rats were used to measure cortical spreading depression susceptibility.
- Methods included topical KCl application and electrical stimulation.
- Oxcarbazepine and valproate (positive control) were administered.
Main Results:
- Oxcarbazepine did not suppress CSD after single or chronic dosing.
- Valproate suppressed CSD only after chronic dosing, not single dose.
- Results indicate valproate's effectiveness is dose and time-dependent.
Conclusions:
- These findings support CSD as a valid target for migraine prophylaxis.
- The study demonstrates the predictive value of CSD models for drug screening.
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