Cerebral hemodynamics in the different phases of migraine and cluster headache.

Hansen, Jakob M; Schankin, Christoph (2019). Cerebral hemodynamics in the different phases of migraine and cluster headache. Journal of cerebral blood flow and metabolism, 39(4), pp. 595-609. Nature Publishing Group 10.1177/0271678X17729783

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Headache is one of the most common ailments; migraine is one of the most prevalent and disabling neurological disorders and cluster headache presents as one of the most excruciating pain disorders. Both are complex disorder characterized by recurrent episodes of headache. A key feature is that various triggers can set off an attack providing the opportunity to explore disease mechanisms by experimentally inducing attacks. This review summarizes neuroimaging and hemodynamic studies in human in provoked and spontaneous attacks of migraine and cluster headache. Cerebral hemodynamics during different phases of the migraine attack demonstrate alterations in cerebral blood flow and perfusion, vessel caliber, cortical and sub-cortical function, underscoring that migraine pathophysiology is highly complex. Migraine attacks might begin in diencephalic and brainstem areas, whereas migraine aura is a cortical phenomenon. In cluster headache pathophysiology, the hypothalamus might also play a pivotal role, whereas the pattern of cerebral blood flood differs from migraine. For both disorders, alterations of arterial blood vessel diameter might be more an epiphenomenon of the attack than a causative trigger. Studying cerebral hemodynamics in provocation models are important in the search for specific biomarkers in the hope to discover future targets for more specific and effective mechanism-based anti-headache treatment.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology

UniBE Contributor:

Schankin, Christoph

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0271-678X

Publisher:

Nature Publishing Group

Language:

English

Submitter:

Stefanie Hetzenecker

Date Deposited:

13 Nov 2017 14:04

Last Modified:

03 Apr 2019 01:30

Publisher DOI:

10.1177/0271678X17729783

PubMed ID:

28857642

Uncontrolled Keywords:

Brain imaging cerebral hemodynamics cluster headache headache provocation migraine

BORIS DOI:

10.7892/boris.105779

URI:

https://boris.unibe.ch/id/eprint/105779

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