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Migraine genetics: An update 总被引:1,自引:0,他引:1
Haan J Kors EE Vanmolkot KR van den Maagdenberg AM Frants RR Ferrari MD 《Current pain and headache reports》2005,9(3):213-220
A growing interest in genetic research in migraine has resulted in the identification of several chromosomal regions that
are involved in migraine. However, the identification of mutations in the genes for familial hemiplegic migraine (FHM) forms
the only true molecular genetic knowledge of migraine thus far. The increased number of mutations in the FHM1 (CACNA1A) and the FHM2 (ATP1A2) genes allow studying the relationship between genetic findings in both genes and the clinical features in patients. A wide
spectrum of symptoms is seen in patients. Additional cerebellar ataxia and (childhood) epilepsy can occur in FHM1 and FHM2.
Functional studies show a dysfunction in ion transport as the key factor in the pathophysiology of (familial hemiplegic) migraine
that predict an increased susceptibility to cortical spreading depression—the underlying mechanism of migraine aura. 相似文献
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Ferrari MD 《Headache》2008,48(5):697-700
The study of migraine genetics promises to deliver significant changes to migraine therapy. Dr. Ferrari explores the emergence of the field and its importance to headache medicine. 相似文献
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Cherubino Di Lorenzo Gaetano S. Grieco Filippo M. Santorelli 《The journal of headache and pain》2012,13(7):571-580
This tutorial summarises the state-of-the-art on migraine genetics and looks at the possible future direction of this field of research. The view of migraine as a genetic disorder, initially based on epidemiological observations of transmission of the condition within families, was subsequently confirmed by the identification of monogenic forms of “syndromic” migraine, such as familial hemiplegic migraine. We are currently witnessing a change in the way genetic analysis is used in migraine research: rather than studying modalities of inheritance in non-monogenic forms of migraine and in the persistent modalities of migraine headache, researchers are now tending to focus on the search for genetic markers of dysfunction in biological systems. One example of the evolution of migraine genetic research is provided by the recent efforts to shed light on the pharmacogenomic mechanisms of drug response in migraineurs. In addition, novel molecular approaches about to be introduced are expected to further increase knowledge on this topic and improve patient management. 相似文献
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Randolph W. Evans MD 《Headache》2015,55(2):313-322
The symptoms of migraine are non‐specific and can be present in many other primary and secondary headache disorders, which are reviewed. Even experienced headache specialists may be challenged at times when diagnosing what appears to be first or worst, new type, migraine status, and chronic migraine. 相似文献
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Goolsby MJ 《Journal of the American Academy of Nurse Practitioners》2003,15(12):536-538
Migraine headaches are the source of significant disability for many individuals and their management can present a considerable clinical challenge. The American Academy of Family Physicians (AAFP) and American College of Physicians--American Society of Internal Medicine (ACP-ASIM) "Pharmacologic Management of Acute Attacks of Migraine and Prevention of Migraine Headaches," provides a succinct, evidence-based resource for primary care nurse practitioners. In addition to reviewing this clinical practice guideline, this column describes related supporting documents. 相似文献
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Migraine Stupor 总被引:1,自引:0,他引:1
SYNOPSIS
Seven patients aged 10–52 years have had stupor lasting 2 hours to 5 days during attacks of migraine. Commonly associated symptoms included dysarthria, ataxia, incoordination, paraesthesiae, dilatation of one pupil and homonymous hemianopia which point to the vertebrobasilar arterial tree as the site of disturbance. Vasoconstriction in this circulation appears to be the most likely mechanism.
Aggressive and apparently hysterical behavior was a feature of the attack in 4 patients. 相似文献
Seven patients aged 10–52 years have had stupor lasting 2 hours to 5 days during attacks of migraine. Commonly associated symptoms included dysarthria, ataxia, incoordination, paraesthesiae, dilatation of one pupil and homonymous hemianopia which point to the vertebrobasilar arterial tree as the site of disturbance. Vasoconstriction in this circulation appears to be the most likely mechanism.
Aggressive and apparently hysterical behavior was a feature of the attack in 4 patients. 相似文献
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