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Common migraine: a review and proposal for a non-vascular aetiology
Abstract:
A brief review of the literature related to migraine headaches is presented. Information is presented on the epidemiology and diagnostic criteria of migraine headaches and is followed by a discussion on the problems inherent in the current classification system. Previously proposed vascular mechanisms of common migraine are discussed in the light of recent non-supporting data and a possible link between common migraine and orofacial pain dysfunction syndromes is proposed. The role of oral behavioural patterns and related muscular/temporomandibular joint problems are advanced as probable factors related to common migraine. The discussion focuses on the need to distinguish classic from common migraine headache sufferers in assessment and treatment outcome studies, as well as suggesting future avenues of research.
Insights
Migraine headaches may be linked to orofacial pain and jaw joint issues, suggesting a need to differentiate common migraine from classic migraine in research and treatment. Further study is recommended.
Area of Science:
- Neurology
- Pain Medicine
- Dentistry
Background:
- Migraine headaches are a common neurological disorder with complex pathophysiology.
- Current classification systems for migraine have limitations.
- The etiology of common migraine remains incompletely understood.
Purpose of the Study:
- To review the literature on migraine headaches, focusing on epidemiology and diagnostic criteria.
- To critically evaluate proposed vascular mechanisms for common migraine.
- To explore potential links between common migraine and orofacial pain dysfunction.
Main Methods:
- Literature review of epidemiological data and diagnostic criteria for migraine.
- Analysis of studies on vascular mechanisms of common migraine.
- Exploration of the relationship between oral behaviors, temporomandibular joint (TMJ) disorders, and migraine.
Main Results:
- Existing data do not fully support previously proposed vascular mechanisms for common migraine.
- A potential association between common migraine and orofacial pain dysfunction syndromes is proposed.
- Oral behavioral patterns and TMJ issues are suggested as contributing factors to common migraine.
Conclusions:
- Distinguishing between classic and common migraine is crucial for accurate assessment and treatment outcome studies.
- Future research should investigate the proposed link between orofacial pain and common migraine.
- Understanding the role of oral factors may offer new therapeutic avenues for migraine management.