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Published in: The Journal of Headache and Pain 4/2009

Open Access 01-08-2009 | Original

Altered trigeminal system excitability in menstrual migraine patients

Authors: Ayhan Varlibas, A. Kemal Erdemoglu

Published in: The Journal of Headache and Pain | Issue 4/2009

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Abstract

To evaluate brainstem excitability in menstrual migraine (MM) patients and compare the electrophysiological parameters of the trigeminocervical reflex (TCR) during the perimenstrual (headache period) and follicular (headache-free) periods with those in healthy controls. Thirty-one patients with MM and 22 volunteer age- and sex-matched healthy women were included in the study. The TCR was studied bilaterally with stimulation of the supraorbital branch of the trigeminal nerve during the perimenstrual period and follicular phase. The electrophysiological parameters of the TCR were compared between MM patients and controls. In controls, there was no statistically significant difference in the mean reflex latencies recorded during the perimenstrual and follicular phases (P > 0.05). In MM patients, the mean reflex latencies recorded during the perimenstrual (headache period) and follicular phase (headache-free) periods were significantly different from each other and from those in controls. The latencies of MM patients during the follicular (headache-free) period were significantly longer than those of controls. Brainstem excitability differed significantly between the perimenstrual (headache period) and follicular phase (headache-free) periods in MM. Furthermore, trigeminal excitability in MM patients was significantly different from that in healthy controls in both phases of the menstrual period.
Literature
1.
go back to reference Moskowitz MA (1992) Trigeminovascular system. Cephalalgia 12(3):127, 1623503, 10.1046/j.1468-2982.1992.1203127.x, 1:STN:280:DyaK38zitlGhtg%3D%3DPubMedCrossRef Moskowitz MA (1992) Trigeminovascular system. Cephalalgia 12(3):127, 1623503, 10.1046/j.1468-2982.1992.1203127.x, 1:STN:280:DyaK38zitlGhtg%3D%3DPubMedCrossRef
2.
go back to reference Bolay H, Reuter U, Dunn AK, Huang Z, Boas DA, Moskowitz MA (2002) Intrinsic brain activity triggers trigeminal meningeal afferents in a migraine model. Nat Med 8(2):136–142, 11821897, 10.1038/nm0202-136, 1:CAS:528:DC%2BD38Xht1equrc%3DPubMedCrossRef Bolay H, Reuter U, Dunn AK, Huang Z, Boas DA, Moskowitz MA (2002) Intrinsic brain activity triggers trigeminal meningeal afferents in a migraine model. Nat Med 8(2):136–142, 11821897, 10.1038/nm0202-136, 1:CAS:528:DC%2BD38Xht1equrc%3DPubMedCrossRef
3.
go back to reference Welch KM (2003) Contemporary concepts of migraine pathogenesis. Neurology 61(8 Suppl 4):S2–S8, 14581652, 1:CAS:528:DC%2BD3sXptlais70%3DPubMedCrossRef Welch KM (2003) Contemporary concepts of migraine pathogenesis. Neurology 61(8 Suppl 4):S2–S8, 14581652, 1:CAS:528:DC%2BD3sXptlais70%3DPubMedCrossRef
4.
go back to reference Sartucci F, Rossi A, Rossi B (1986) Trigemino cervical reflex in man. Electromyogr Clin Neurophysiol 26(2):123–129, 3732126, 1:STN:280:DyaL283nsVemsw%3D%3DPubMed Sartucci F, Rossi A, Rossi B (1986) Trigemino cervical reflex in man. Electromyogr Clin Neurophysiol 26(2):123–129, 3732126, 1:STN:280:DyaL283nsVemsw%3D%3DPubMed
5.
go back to reference Astelmark B, Pinter MJ, Sasaki S, Tantisira B (1992) Trigeminal excitation of dorsal neck motoneurones in the cat. Exp Brain Res 92:183–193 Astelmark B, Pinter MJ, Sasaki S, Tantisira B (1992) Trigeminal excitation of dorsal neck motoneurones in the cat. Exp Brain Res 92:183–193
6.
go back to reference Kato S, Papuashvili N, Okada YC (2003) Identification and functional characterization of the trigeminal ventral cervical reflex pathway in the swine. Clin Neurophysiol 114:263–271, 12559233, 10.1016/S1388-2457(02)00348-6PubMedCrossRef Kato S, Papuashvili N, Okada YC (2003) Identification and functional characterization of the trigeminal ventral cervical reflex pathway in the swine. Clin Neurophysiol 114:263–271, 12559233, 10.1016/S1388-2457(02)00348-6PubMedCrossRef
7.
go back to reference Di Lazzaro V, Quartarone A, Higuchi K, Rothwell JC (1995) Short-latency trigemino-cervical reflexes in man. Exp Brain Res 102(3):474–482, 7737393, 1:STN:280:DyaK2M3lsFGgtQ%3D%3DPubMedCrossRef Di Lazzaro V, Quartarone A, Higuchi K, Rothwell JC (1995) Short-latency trigemino-cervical reflexes in man. Exp Brain Res 102(3):474–482, 7737393, 1:STN:280:DyaK2M3lsFGgtQ%3D%3DPubMedCrossRef
8.
go back to reference Di Lazzaro V, Restuccia D, Nardone R et al (1996) Preliminary clinical observations on a new trigeminal reflex: the trigemino-cervical reflex. Neurology 46:479–485, 8614518, 1:STN:280:DyaK287otF2rsg%3D%3DPubMedCrossRef Di Lazzaro V, Restuccia D, Nardone R et al (1996) Preliminary clinical observations on a new trigeminal reflex: the trigemino-cervical reflex. Neurology 46:479–485, 8614518, 1:STN:280:DyaK287otF2rsg%3D%3DPubMedCrossRef
9.
go back to reference Milanov I, Bogdanova D, Ishpekova B (2001) The trigemino-cervical reflex in normal subjects. Funct Neurol 16(2):129–134, 11495418, 1:STN:280:DC%2BD3MvkvFWjsA%3D%3DPubMed Milanov I, Bogdanova D, Ishpekova B (2001) The trigemino-cervical reflex in normal subjects. Funct Neurol 16(2):129–134, 11495418, 1:STN:280:DC%2BD3MvkvFWjsA%3D%3DPubMed
10.
go back to reference Ertekin C, Celebisoy N, Uludag B (1996) Trigemino-cervical reflexes in normal subjects. J Neurol Sci 143:84–90, 8981303, 10.1016/S0022-510X(96)00124-4, 1:STN:280:DyaK2s7jsFOltA%3D%3DPubMedCrossRef Ertekin C, Celebisoy N, Uludag B (1996) Trigemino-cervical reflexes in normal subjects. J Neurol Sci 143:84–90, 8981303, 10.1016/S0022-510X(96)00124-4, 1:STN:280:DyaK2s7jsFOltA%3D%3DPubMedCrossRef
11.
go back to reference Serrao M, Rossi P, Parisi L, Perrotta A, Bartolo M, Cardinali P, Amabile G, Pierelli F (2003) Trigemino-cervical-spinal reflexes in humans. Clin Neurophysiol 114(9):1697–1703, 12948799, 10.1016/S1388-2457(03)00132-9PubMedCrossRef Serrao M, Rossi P, Parisi L, Perrotta A, Bartolo M, Cardinali P, Amabile G, Pierelli F (2003) Trigemino-cervical-spinal reflexes in humans. Clin Neurophysiol 114(9):1697–1703, 12948799, 10.1016/S1388-2457(03)00132-9PubMedCrossRef
12.
go back to reference Headache Classification Subcommittee of the International Headache Society (2004) International classification of headache disorders. Cephalalgia 24(Suppl 1):1–152 Headache Classification Subcommittee of the International Headache Society (2004) International classification of headache disorders. Cephalalgia 24(Suppl 1):1–152
13.
go back to reference Milanov I, Bogdanova D (2003) Trigemino-cervical reflex in patients with headache. Cephalalgia 23(1):35–38, 12534578, 10.1046/j.1468-2982.2003.00454.x, 1:STN:280:DC%2BD3s%2FivVSnsA%3D%3DPubMedCrossRef Milanov I, Bogdanova D (2003) Trigemino-cervical reflex in patients with headache. Cephalalgia 23(1):35–38, 12534578, 10.1046/j.1468-2982.2003.00454.x, 1:STN:280:DC%2BD3s%2FivVSnsA%3D%3DPubMedCrossRef
14.
go back to reference Nardone R, Tezzon F (2003) Short latency trigemino-sternocleidomastoid response in patients with migraine. J Neurol 250(6):725–732, 12796836, 10.1007/s00415-003-1073-5PubMedCrossRef Nardone R, Tezzon F (2003) Short latency trigemino-sternocleidomastoid response in patients with migraine. J Neurol 250(6):725–732, 12796836, 10.1007/s00415-003-1073-5PubMedCrossRef
15.
go back to reference Serrao M, Perrotta A, Bartolo M, Fiermonte G, Pauri F, Rossi P, Parisi L, Pierelli F (2005) Enhanced trigemino-cervical-spinal reflex recovery cycle in pain-free migraineurs. Headache 45(8):1061–1068, 16109121, 10.1111/j.1526-4610.2005.05188.xPubMedCrossRef Serrao M, Perrotta A, Bartolo M, Fiermonte G, Pauri F, Rossi P, Parisi L, Pierelli F (2005) Enhanced trigemino-cervical-spinal reflex recovery cycle in pain-free migraineurs. Headache 45(8):1061–1068, 16109121, 10.1111/j.1526-4610.2005.05188.xPubMedCrossRef
16.
go back to reference Schoenen J, Bottin D, Sulon J, Gaspard U, Lambotte R (1991) Exteroceptive silent period of temporalis muscle in menstrual headaches. Cephalalgia 11(2):87–91, 1860134, 10.1046/j.1468-2982.1991.1102087.x, 1:STN:280:DyaK3Mzhs1Ojuw%3D%3DPubMedCrossRef Schoenen J, Bottin D, Sulon J, Gaspard U, Lambotte R (1991) Exteroceptive silent period of temporalis muscle in menstrual headaches. Cephalalgia 11(2):87–91, 1860134, 10.1046/j.1468-2982.1991.1102087.x, 1:STN:280:DyaK3Mzhs1Ojuw%3D%3DPubMedCrossRef
17.
go back to reference Kaube H, Katsarava Z, Przywara S, Drepper J, Ellrich J, Diener HC (2002) Acute migraine headache: possible sensitization of neurons in the spinal trigeminal nucleus? Neurology 58(8):1234–1238, 11971092, 1:STN:280:DC%2BD383jtF2msA%3D%3DPubMedCrossRef Kaube H, Katsarava Z, Przywara S, Drepper J, Ellrich J, Diener HC (2002) Acute migraine headache: possible sensitization of neurons in the spinal trigeminal nucleus? Neurology 58(8):1234–1238, 11971092, 1:STN:280:DC%2BD383jtF2msA%3D%3DPubMedCrossRef
18.
go back to reference Katsarava Z, Lehnerdt G, Duda B, Ellrich J, Diener HC, Kaube H (2002) Sensitization of trigeminal nociception specific for migraine but not pain of sinusitis. Neurology 59(9):1450–1453, 12427905, 1:STN:280:DC%2BD38nmslKktg%3D%3DPubMedCrossRef Katsarava Z, Lehnerdt G, Duda B, Ellrich J, Diener HC, Kaube H (2002) Sensitization of trigeminal nociception specific for migraine but not pain of sinusitis. Neurology 59(9):1450–1453, 12427905, 1:STN:280:DC%2BD38nmslKktg%3D%3DPubMedCrossRef
19.
go back to reference De Marinis M, Pujia A, Colaizzo E, Accornero N (2007) The blink reflex in “chronic migraine”. Clin Neurophysiol 118(2):457–463, 17141567, 10.1016/j.clinph.2006.10.011PubMedCrossRef De Marinis M, Pujia A, Colaizzo E, Accornero N (2007) The blink reflex in “chronic migraine”. Clin Neurophysiol 118(2):457–463, 17141567, 10.1016/j.clinph.2006.10.011PubMedCrossRef
20.
go back to reference Stewart WF, Lipton RB, Celentano DD, Reed ML (1992) Prevalence of migraine headache in the United States. Relation to age, income, race, and other sociodemographic factors. JAMA 267(1):64–69, 1727198, 10.1001/jama.267.1.64, 1:STN:280:DyaK38%2FnvFeksA%3D%3DPubMedCrossRef Stewart WF, Lipton RB, Celentano DD, Reed ML (1992) Prevalence of migraine headache in the United States. Relation to age, income, race, and other sociodemographic factors. JAMA 267(1):64–69, 1727198, 10.1001/jama.267.1.64, 1:STN:280:DyaK38%2FnvFeksA%3D%3DPubMedCrossRef
21.
go back to reference Loder EW (2006) Menstrual migraine: pathophysiology, diagnosis, and impact. Headache 46(Suppl 2):S55–S60, 17044842, 10.1111/j.1526-4610.2006.00555.xPubMedCrossRef Loder EW (2006) Menstrual migraine: pathophysiology, diagnosis, and impact. Headache 46(Suppl 2):S55–S60, 17044842, 10.1111/j.1526-4610.2006.00555.xPubMedCrossRef
22.
go back to reference Puri V, Cui L, Liverman CS, Roby KF, Klein RM, Welch KM, Berman NE (2005) Ovarian steroids regulate neuropeptides in the trigeminal ganglion. Neuropeptides 39(4):409–417, 15936815, 10.1016/j.npep.2005.04.002, 1:CAS:528:DC%2BD2MXmvVGisbk%3DPubMedCrossRef Puri V, Cui L, Liverman CS, Roby KF, Klein RM, Welch KM, Berman NE (2005) Ovarian steroids regulate neuropeptides in the trigeminal ganglion. Neuropeptides 39(4):409–417, 15936815, 10.1016/j.npep.2005.04.002, 1:CAS:528:DC%2BD2MXmvVGisbk%3DPubMedCrossRef
23.
go back to reference Martin VT, Behbehani M (2006) Ovarian hormones and migraine headache: understanding mechanisms and pathogenesis—part I. Headache 46(1):3–23, 16412147, 10.1111/j.1526-4610.2006.00309.xPubMedCrossRef Martin VT, Behbehani M (2006) Ovarian hormones and migraine headache: understanding mechanisms and pathogenesis—part I. Headache 46(1):3–23, 16412147, 10.1111/j.1526-4610.2006.00309.xPubMedCrossRef
24.
go back to reference Zacur HA (2006) Hormonal changes throughout life in women. Headache 46(Suppl 2):S49–S54, 17044841, 10.1111/j.1526-4610.2006.00554.xPubMedCrossRef Zacur HA (2006) Hormonal changes throughout life in women. Headache 46(Suppl 2):S49–S54, 17044841, 10.1111/j.1526-4610.2006.00554.xPubMedCrossRef
25.
go back to reference Welch KM, Brandes JL, Berman NE (2006) Mismatch in how oestrogen modulates molecular and neuronal function may explain menstrual migraine. Neurol Sci 27(Suppl 2):S190–S192, 16688628, 10.1007/s10072-006-0599-6PubMedCrossRef Welch KM, Brandes JL, Berman NE (2006) Mismatch in how oestrogen modulates molecular and neuronal function may explain menstrual migraine. Neurol Sci 27(Suppl 2):S190–S192, 16688628, 10.1007/s10072-006-0599-6PubMedCrossRef
26.
go back to reference Mauskop A, Altura BT, Altura BM (2002) Serum ionized magnesium levels and serum ionized calcium/ionized magnesium ratios in women with menstrual migraine. Headache 42(4):242–248, 12010379, 10.1046/j.1526-4610.2002.02075.xPubMedCrossRef Mauskop A, Altura BT, Altura BM (2002) Serum ionized magnesium levels and serum ionized calcium/ionized magnesium ratios in women with menstrual migraine. Headache 42(4):242–248, 12010379, 10.1046/j.1526-4610.2002.02075.xPubMedCrossRef
27.
go back to reference Dodick D, Silberstein S (2006) Central sensitization theory of migraine: clinical implications. Headache 46(Suppl 4):S182–S191, 17078850, 10.1111/j.1526-4610.2006.00602.xPubMedCrossRef Dodick D, Silberstein S (2006) Central sensitization theory of migraine: clinical implications. Headache 46(Suppl 4):S182–S191, 17078850, 10.1111/j.1526-4610.2006.00602.xPubMedCrossRef
Metadata
Title
Altered trigeminal system excitability in menstrual migraine patients
Authors
Ayhan Varlibas
A. Kemal Erdemoglu
Publication date
01-08-2009
Publisher
Springer Milan
Published in
The Journal of Headache and Pain / Issue 4/2009
Print ISSN: 1129-2369
Electronic ISSN: 1129-2377
DOI
https://doi.org/10.1007/s10194-009-0132-4

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