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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
Published on: June 2, 2014
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Of generators, networks and migraine attacks
1Department of Systems Neuroscience, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Current Opinion in Neurology
|February 28, 2017
Summary
Migraine attacks may not originate from a single brain area. Recent studies suggest complex network interactions involving the hypothalamus and brainstem generate migraine pain.
Area of Science:
- Neuroscience
- Neurology
- Pain Research
Background:
- The origin of migraine attacks is a central topic in migraine pathophysiology.
- Debate continues regarding the specific brain and brainstem centers involved in migraine generation.
Purpose of the Study:
- To review current evidence on migraine attack origins.
- To synthesize findings from neuroimaging and clinical observations.
Main Methods:
- Review of recent neuroimaging studies focusing on the preictal stage of migraine.
- Analysis of functional connectivity changes in migraineurs.
Main Results:
- Neuroimaging suggests the hypothalamus plays a key role in the preictal stage.
- Altered resting-state functional connectivity in the dorsal pons and hypothalamus is observed in interictal migraineurs.
- Clinical presentation points to the hypothalamus and dopaminergic system, while neuroimaging implicates the dorsal pons.
Conclusions:
- A single migraine generator model is likely too simplistic.
- Migraine pain generation may result from spontaneous oscillations in complex neural networks.
- These oscillations may alter descending pain-modulating pathways via subcortical and brainstem areas.
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