Preventing chronicity of migraine

Fanciullacci, M; Cesaris, Francesco De

doi:10.1007/s10194-005-0224-8

Cited by 23 publications

(27 citation statements)

References 9 publications

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“…This central sensitization could explain the allodynia in migraine, 13 and the extracranial tenderness, in the absence of extracranial pathology 2 . In adults, allodynia serves as a prognostic marker of the progression to chronic and transformed migraine 14 . This practice is based on findings in adults that repeated episodes of central sensitization may exacerbate the disease, and that a longer duration of migraine (in months) and a greater frequency of attacks are significantly correlated with an increase in allodynic symptoms 8 .…”

Section: Discussionmentioning

confidence: 96%

“…Regarding the third predictive factor in this study, the early initiation of triptan therapy is currently the best means for achieving rapid, complete, and sustained pain relief from migraines and preventing central sensitization during attacks. Scrupulous management of individual attacks is necessary for an optimal outcome 14 . However, patients with allodynia, a sign of central sensitization, tend to react much less efficiently to triptans.…”

Section: Discussionmentioning

confidence: 99%

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Migraine and Cephalic Cutaneous Allodynia in Pediatric Patients

Eidlitz‐Markus

Shuper²,

Gorali³

et al. 2007

Headache

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Migraine and Cephalic Cutaneous Allodynia in Pediatric Patients

Eidlitz‐Markus

Shuper²,

Gorali³

et al. 2007

Headache

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“…Stress is often cited as a primary, but not the most important, factor that accelerates progression to headache chronicity. Medication overuse is considered the most important factor, with other related factors including high headache attack frequency, physical trauma, obesity, consumption of caffeine, and female gender 11,31–35 …”

Section: Stress and Headache Disorder Progressionmentioning

confidence: 99%

Understanding Psychological Stress, Its Biological Processes, and Impact on Primary Headache

Nash¹,

Thebarge²

2006

Headache

145

120

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Psychological stress is generally acknowledged to be a central contributor to primary headache. Stress results from any challenge or threat, either real or perceived, to normal functioning. The stress response is the body's activation of physiological systems, namely the hypothalamic-pituitary-adrenal axis, to protect and restore functioning. Chronic activation of the stress response can lead to wear and tear that eventually can predispose an individual to disease. There are multiple ways that stress and headache are closely related. Stress can (a) be a predisposing factor that contributes to headache disorder onset, (b) accelerate the progression of the headache disorder into a chronic condition, and (c) precipitate and exacerbate individual headache episodes. How stress impacts headache is not often understood. However, stress is assumed to affect primary headache by directly impacting pain production and modulation processes at both the peripheral and central levels. Stress can also independently worsen headache-related disability and quality of life. Finally, the headache experience itself can serve as a stressor that compromises an individual's health and well-being. With the prominent role that stress plays in headache, there are implications for the evaluation of stress and the use of stress reduction strategies at the various stages of headache disorder onset and progression. Future directions can help to develop a better empirical understanding of the pattern of the stress and headache connections and the mechanisms that explain the connections. Further research can also examine the interactive effects of stress and other factors that impact headache disorder onset, course, and adjustment.

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“…Jasmin et al [2003] suggest that stress affects the pain threshold via changes in γ-aminobutyric acid in the rostral agranular insular cortex. We know that acute stress activates pain inhibition, however, chronic activation could exhaust the system and eventually lead to impairment of inhibition and an increase in the excitability of nociceptive circuitry in patients that experience TTH [Fanciullacci and De Cesaris, 2005;Silberstein and Olesen, 2006]. SSNHL is an unexplained acute hearing loss.…”

Section: Discussionmentioning

confidence: 99%

Sudden Sensorineural Hearing Loss Associated with Tension-Type Headache: A Population-Based Study

Hsiao¹,

Yang³

et al. 2015

Audiol Neurotol

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Objectives: This study explored the relationship between sudden sensorineural hearing loss (SSNHL) and prior tension-type headache (TTH) in a large nationwide population-based data set in Taiwan. Methods: In this case-controlled study in Taiwan, participants with SSNHL (n = 4,683) were identified, and controls (n = 18,732) were randomly selected from the National Health Insurance database. Cases of TTH were identified by having been diagnosed as TTH prior to the index date of SSNHL diagnosis. A conditional logistic regression model was used to estimate the adjusted odds ratio (OR) and 95% confidence intervals (CI) for the association of sudden deafness with TTH among the sampled patients. Results: Among the 23,415 patients, 2.5% (600/23,415) had TTH diagnoses prior to the index date; TTH was diagnosed in 4.5% (209/4,683) of the SSNHL group and 2.1% (391/18,732) of the control group. After adjusting for sociodemographic characteristics and comorbid medical disorders, we found that patients with SSNHL were more likely to have had a previous TTH than controls (OR, 1.86; 95% CI, 1.54-2.24; p < 0.01). Conclusion: Both male and female patients with SSNHL had a higher proportion of prior TTH than controls without SSNHL.

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Preventing chronicity of migraine

Cited by 23 publications

References 9 publications

Migraine and Cephalic Cutaneous Allodynia in Pediatric Patients

Migraine and Cephalic Cutaneous Allodynia in Pediatric Patients

Understanding Psychological Stress, Its Biological Processes, and Impact on Primary Headache

Sudden Sensorineural Hearing Loss Associated with Tension-Type Headache: A Population-Based Study

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