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

Alexander Tzabazis1, Shashi Kori2, Jordan Mechanic2

  • 1Department of Anesthesiology, Perioperative and Pain Medicine, School of Medicine, Stanford University, Stanford, CA.

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|May 10, 2017
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Summary

Intranasal oxytocin shows promise for migraine treatment, particularly in reducing headache frequency. Further research is recommended for its development as a migraine prophylactic therapy.

Keywords:
CGRPdura matteroxytocinprophylacticrat modelstrigeminal

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Area of Science:

  • Neuroscience
  • Pharmacology

Background:

  • Migraine headache is a complex neurological condition.
  • Oxytocin is a hormone with potential therapeutic applications.

Purpose of the Study:

  • To review scientific results and rationale for using intranasal oxytocin for migraine treatment.
  • To explore the efficacy of intranasal oxytocin in reducing migraine frequency and pain.

Main Methods:

  • Preclinical in vitro and in vivo studies on trigeminal neurons and rat models.
  • Clinical studies including episodic and chronic migraineurs with varying dosing regimens.
  • A multicountry double-blind, placebo-controlled trial.

Main Results:

  • Oxytocin inhibits trigeminal neurons and CGRP release.
  • Inflammation upregulates oxytocin receptors on trigeminal neurons.
  • Clinical studies showed reduced headache frequency and pain, with some trials not meeting primary endpoints due to high placebo rates.

Conclusions:

  • Intranasal oxytocin demonstrates potential for migraine prophylaxis.
  • Further development is warranted despite mixed clinical trial outcomes.
  • The role of inflammation in treatment efficacy requires continued investigation.