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A common drug may help patients with debilitating migraine headaches.

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Proposed new diagnostic criteria for chronic migraine.

ICHD-3 criteria for chronic migraine (CM) include a mixture of migraine and tension-type-like headaches and do not account for patients who have a high frequency of migraine but no other headaches.

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Major depression subtypes are differentially associated with migraine subtype, prevalence and severity.

Migraine and major depressive disorder show a high rate of comorbidity, but little is known about the associations between the subtypes of major depressive disorder and migraine. In this cross-sectional study we aimed at investigating a) the lifetime associations between the atypical, melancholic, combined and unspecified subtype of major depressive disorder and migraine with and without aura and b) the associations between major depressive disorder and its subtypes and the severity of migraine.

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Response of the autonomic activity to stress provocation in females with cervicogenic headache compared to asymptomatic controls: a cross-sectional study.

Because abnormal activity of the autonomic nervous system is associated with chronification of pain, early detection of such dysfunction is important.

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Pre-attentive dysfunction of processing emotional faces in interictal migraine revealed by expression-related visual mismatch negativity.

Several investigations have indicated emotional processing impairment in migraineurs, while no report is available considering the automatic processing of emotional information. In this study, we aimed to characterize the pre-attentive processing of facial expressions in migraine sufferers by recording and analyzing expression-related visual mismatch negativity (EMMN).

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Astrocytes in Atp1a2-deficient heterozygous mice exhibit hyperactivity after induction of cortical spreading depression.

The ATP1A2 coding α2 subunit of Na,K-ATPase, which is predominantly located in astrocytes, is a causative gene of familial hemiplegic migraine type 2 (FHM2). FHM2 model mice (Atp1a2 ) are susceptible to cortical spreading depression (CSD), which is profoundly related to migraine aura and headache. However, astrocytic properties during CSD have not been examined in FHM2 model mice. Using Atp1a2 crossed with transgenic mice expressing G-CaMP7 in cortical neurons and astrocytes (Atp1a2 ), we analyzed the changes in Ca concentrations during CSD. The propagation speed of Ca waves and the percentages of astrocytes with elevated Ca concentrations in Atp1a2 were higher than those in wild-type mice. Increased percentages of astrocytes with elevated Ca concentrations in Atp1a2 may contribute to FHM2 pathophysiology.

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Migraine Care in the Era of COVID-19: Clinical Pearls and Plea to Insurers.

To outline strategies for the treatment of migraine which do not require in-person visits to clinic or the emergency department, and to describe ways that health insurance companies can remove barriers to quality care for migraine.

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Multiple Cranial Nerve Blocks as an Alternative Preventative Therapy for Chronic Migraine.

The objective of this prospective cohort study is to evaluate the efficacy of multiple cranial nerve blocks (MCNBs) as a preventative therapy for chronic migraine.

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Phase dependent hypothalamic activation following trigeminal input in cluster headache.

Task-free imaging approaches using PET have shown the posterior hypothalamus to be specifically activated during but not outside cluster headache attacks. Evidence from task related functional imaging approaches however is scarce.

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Two-Hour CGRP Infusion Causes Gastrointestinal Hyperactivity: Possible Relevance for CGRP Antibody Treatment.

The monoclonal antibodies against calcitonin gene-related peptide (CGRP) or its receptor are new antimigraine drugs from which many patients already benefit. Very few side effects have been reported from the antibody trials, including very few gastrointestinal (GI) side effects. The current data derive from a double-blind cross-over study of CGRP infusion for 2 hours. We present the GI side effects of the infusion and raise the question if underreporting of GI symptoms in CGRP antibody trials has occurred. We also discuss why constipation may be more likely with CGRP receptor blockade than with CGRP neutralizing antibodies.

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