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Papers of the Week


Papers: 8 Jul 2023 - 14 Jul 2023

RESEARCH TYPE:
Review, Translational

PAIN TYPE:
Migraine/Headache


2023 Jul 08


Eur J Pain


37421221

Central generators of migraine and autonomic cephalalgias as targets for personalized pain management: Translational links.

Authors

Noseda R, Villanueva L

Abstract

Migraine oscillates between different states in association with internal homeostatic functions and biological rhythms that become more easily dysregulated in genetically susceptible individuals. Clinical and pre-clinical data on migraine pathophysiology support a primary role of the central nervous system (CNS) through ‘dysexcitability’ of certain brain networks, and a critical contribution of the peripheral sensory and autonomic signalling from the intracranial meningeal innervation. This review focuses on the most relevant back and forward translational studies devoted to the assessment of CNS dysfunctions involved in primary headaches and discusses the role they play in rendering the brain susceptible to headache states.