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Neuroendocrine dysfunction in cluster headache.

M Leone1, G Patruno, A Vescovi

  • 1Istituto Neurologico C. Besta, Milano, Italy.

Cephalalgia : an International Journal of Headache
|October 1, 1990
PubMed
Summary
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Cluster headache patients during active periods show reduced hypothalamic-pituitary axis response, suggesting central nervous system dysfunction. This finding supports a hypothalamic role in cluster headache pathogenesis.

Area of Science:

  • Neurology
  • Neuroendocrinology

Background:

  • Cluster headache is thought to involve primary central nervous system dysfunction.
  • Hypothalamic involvement is a key hypothesis in cluster headache pathogenesis.

Purpose of the Study:

  • To investigate hypothalamic involvement in cluster headache.
  • To evaluate the hypothalamic-pituitary axis responsiveness using the thyrotrophin-releasing hormone (TRH) test.

Main Methods:

  • Administered 200 micrograms of TRH intravenously to three groups: nine healthy controls, 32 cluster headache patients during an active period, and 16 patients in remission.
  • Measured the delta maximum thyrotropin (TSH) levels in all participants.

Main Results:

  • Significantly lower delta maximum TSH levels were observed in cluster headache patients during the active period compared to healthy controls and patients in remission (p < 0.05).

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  • No significant difference in delta maximum TSH levels was found between healthy controls and cluster headache patients in remission.
  • Conclusions:

    • The findings suggest impaired hypothalamic-pituitary axis responsiveness during active cluster headache periods.
    • A hypothalamic monoaminergic dysfunction is hypothesized as a contributing factor to cluster headache pathophysiology.