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Published in: The Journal of Headache and Pain 1/2011

Open Access 01-02-2011 | Original

Rizatriptan reduces vestibular-induced motion sickness in migraineurs

Authors: Joseph M. Furman, Dawn A. Marcus, Carey D. Balaban

Published in: The Journal of Headache and Pain | Issue 1/2011

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Abstract

A previous pilot study suggested that rizatriptan reduces motion sickness induced by complex vestibular stimulation. In this double-blind, randomized, placebo-controlled study we measured motion sickness in response to a complex vestibular stimulus following pretreatment with either rizatriptan or a placebo. Subjects included 25 migraineurs with or without migraine-related dizziness (23 females) aged 21–45 years (31.0 ± 7.8 years). Motion sickness was induced by off-vertical axis rotation in darkness, which stimulates both the semicircular canals and otolith organs of the vestibular apparatus. Results indicated that of the 15 subjects who experienced vestibular-induced motion sickness when pretreated with placebo, 13 showed a decrease in motion sickness following pretreatment with rizatriptan as compared to pretreatment with placebo (P < 0.02). This significant effect was not seen when subjects were exposed to more provocative vestibular stimulation. We conclude that the serotonin agonist, rizatriptan, reduces vestibular-induced motion sickness by influencing serotonergic vestibular-autonomic projections.
Literature
1.
go back to reference Irwin JA (1881) The pathology of sea-sickness. Lancet 2:907–909, 10.1016/S0140-6736(02)38129-7CrossRef Irwin JA (1881) The pathology of sea-sickness. Lancet 2:907–909, 10.1016/S0140-6736(02)38129-7CrossRef
2.
go back to reference Marcus DA, Furman JM, Balaban CD (2005) Motion sickness in migraine sufferers. Expert Opin Pharmacother 6(15):2691–2697, 16316307, 10.1517/14656566.6.15.2691, 1:CAS:528:DC%2BD2MXht1Gks73KCrossRefPubMed Marcus DA, Furman JM, Balaban CD (2005) Motion sickness in migraine sufferers. Expert Opin Pharmacother 6(15):2691–2697, 16316307, 10.1517/14656566.6.15.2691, 1:CAS:528:DC%2BD2MXht1Gks73KCrossRefPubMed
3.
go back to reference Graybiel A, Wood CD, Miller EF, Cramer DB (1968) Diagnostic criteria for grading the severity of acute motion sickness. Aerosp Med 39(5):453–455, 5648730, 1:STN:280:DyaF1c3jsFymsg%3D%3DPubMed Graybiel A, Wood CD, Miller EF, Cramer DB (1968) Diagnostic criteria for grading the severity of acute motion sickness. Aerosp Med 39(5):453–455, 5648730, 1:STN:280:DyaF1c3jsFymsg%3D%3DPubMed
4.
go back to reference Kayan A, Hood JD (1984) Neuro-otological manifestations of migraine. Brain 107(Pt 4):1123–1142, 6334543, 10.1093/brain/107.4.1123CrossRefPubMed Kayan A, Hood JD (1984) Neuro-otological manifestations of migraine. Brain 107(Pt 4):1123–1142, 6334543, 10.1093/brain/107.4.1123CrossRefPubMed
5.
go back to reference Drummond PD (2005) Triggers of motion sickness in migraine sufferers. Headache 45(6):653–656, 15953297, 10.1111/j.1526-4610.2005.05132.xCrossRefPubMed Drummond PD (2005) Triggers of motion sickness in migraine sufferers. Headache 45(6):653–656, 15953297, 10.1111/j.1526-4610.2005.05132.xCrossRefPubMed
6.
go back to reference Turner M, Griffin MJ, Holland I (2000) Airsickness and aircraft motion during short-haul flights. Aviat Space Environ Med 71(12):1181–1189, 11439716, 1:STN:280:DC%2BD3Mzos1CjtA%3D%3DPubMed Turner M, Griffin MJ, Holland I (2000) Airsickness and aircraft motion during short-haul flights. Aviat Space Environ Med 71(12):1181–1189, 11439716, 1:STN:280:DC%2BD3Mzos1CjtA%3D%3DPubMed
7.
go back to reference Yates BJ, Miller AD, Lucot JB (1998) Physiological basis and pharmacology of motion sickness: an update. Brain Res Bull 47(5):395–406, 10052567, 10.1016/S0361-9230(98)00092-6, 1:STN:280:DyaK1M7lvF2gsA%3D%3DCrossRefPubMed Yates BJ, Miller AD, Lucot JB (1998) Physiological basis and pharmacology of motion sickness: an update. Brain Res Bull 47(5):395–406, 10052567, 10.1016/S0361-9230(98)00092-6, 1:STN:280:DyaK1M7lvF2gsA%3D%3DCrossRefPubMed
8.
go back to reference Takeda N, Morita M, Horii A, Nishiike S, Kitahara T, Uno A (2001) Neural mechanisms of motion sickness. J Med Invest 48(1–2):44–59, 11286016, 1:STN:280:DC%2BD3Mzgs1KrsA%3D%3DPubMed Takeda N, Morita M, Horii A, Nishiike S, Kitahara T, Uno A (2001) Neural mechanisms of motion sickness. J Med Invest 48(1–2):44–59, 11286016, 1:STN:280:DC%2BD3Mzgs1KrsA%3D%3DPubMed
9.
go back to reference Javid FA, Naylor RJ (2002) The effect of serotonin and serotonin receptor antagonists on motion sickness in Suncus murinus. Pharmacol Biochem Behav 73(4):979–989, 12213545, 10.1016/S0091-3057(02)00955-3, 1:CAS:528:DC%2BD38Xms1yltrg%3DCrossRefPubMed Javid FA, Naylor RJ (2002) The effect of serotonin and serotonin receptor antagonists on motion sickness in Suncus murinus. Pharmacol Biochem Behav 73(4):979–989, 12213545, 10.1016/S0091-3057(02)00955-3, 1:CAS:528:DC%2BD38Xms1yltrg%3DCrossRefPubMed
10.
go back to reference Furman JM, Marcus DA (2009) A pilot study of rizatriptan and visually-induced motion sickness in migraineurs. Int J Med Sci 6(4):212–217, 19680473, 1:CAS:528:DC%2BD1MXhtVSksL%2FEPubMedCentralCrossRefPubMed Furman JM, Marcus DA (2009) A pilot study of rizatriptan and visually-induced motion sickness in migraineurs. Int J Med Sci 6(4):212–217, 19680473, 1:CAS:528:DC%2BD1MXhtVSksL%2FEPubMedCentralCrossRefPubMed
11.
go back to reference Neuhauser H, Leopold M, von Brevern M, Arnold G, Lempert T (2001) The interrelations of migraine, vertigo, and migrainous vertigo. Neurology 56(4):436–441 Neuhauser H, Leopold M, von Brevern M, Arnold G, Lempert T (2001) The interrelations of migraine, vertigo, and migrainous vertigo. Neurology 56(4):436–441
12.
go back to reference Abu-Arafeh I, Russell G. Paroxysmal vertigo as a migraine equivalent in children: a population-based study. Cephalalgia 15(1):22–5 (discussion 4) Abu-Arafeh I, Russell G. Paroxysmal vertigo as a migraine equivalent in children: a population-based study. Cephalalgia 15(1):22–5 (discussion 4)
13.
go back to reference The International Classification of Headache Disorders (2004) 2nd edn. Cephalalgia 24(Suppl 1):9–160 The International Classification of Headache Disorders (2004) 2nd edn. Cephalalgia 24(Suppl 1):9–160
14.
go back to reference Marcus DA, Kapelewski C, Rudy TE, Jacob JG, Furman JM (2004) Diagnosis of migrainous vertigo: validity of a structured interview. Med Sci Monit 10(5):CR197–201 Marcus DA, Kapelewski C, Rudy TE, Jacob JG, Furman JM (2004) Diagnosis of migrainous vertigo: validity of a structured interview. Med Sci Monit 10(5):CR197–201
15.
go back to reference Marcus DA, Kapelewski C, Jacob RG, Rudy TE, Furman JM (2004) Validation of a brief nurse-administered migraine assessment tool. Headache 44(4):328–332, 15109357, 10.1111/j.1526-4610.2004.04076.xCrossRefPubMed Marcus DA, Kapelewski C, Jacob RG, Rudy TE, Furman JM (2004) Validation of a brief nurse-administered migraine assessment tool. Headache 44(4):328–332, 15109357, 10.1111/j.1526-4610.2004.04076.xCrossRefPubMed
16.
go back to reference Furman JM, Wuyts F (2003) Vestibular test techniques. In: Luxon LM, Martini A, Furman JM, Stephens D (eds) Textbook of audiological medicine. Martin Dunitz, London, pp 735–746 Furman JM, Wuyts F (2003) Vestibular test techniques. In: Luxon LM, Martini A, Furman JM, Stephens D (eds) Textbook of audiological medicine. Martin Dunitz, London, pp 735–746
17.
go back to reference Wolpe J (1982) The practice of behavior therapy. Pergamon Press, New York Wolpe J (1982) The practice of behavior therapy. Pergamon Press, New York
18.
go back to reference Furman JM, Schor RH, Schumann TL (1992) Off-vertical axis rotation: a test of the otolith-ocular reflex. Ann Otol Rhinol Laryngol 101(8):643–650, 1497268, 1:STN:280:DyaK38zlvFCgug%3D%3DCrossRefPubMed Furman JM, Schor RH, Schumann TL (1992) Off-vertical axis rotation: a test of the otolith-ocular reflex. Ann Otol Rhinol Laryngol 101(8):643–650, 1497268, 1:STN:280:DyaK38zlvFCgug%3D%3DCrossRefPubMed
19.
go back to reference Denise P, Etard O, Zupan L, Darlot C (1996) Motion sickness during off-vertical axis rotation: prediction by a model of sensory interactions and correlation with other forms of motion sickness. Neurosci Lett 203(3):183–186, 8742023, 10.1016/0304-3940(96)12303-X, 1:CAS:528:DyaK28XhtVWis7k%3DCrossRefPubMed Denise P, Etard O, Zupan L, Darlot C (1996) Motion sickness during off-vertical axis rotation: prediction by a model of sensory interactions and correlation with other forms of motion sickness. Neurosci Lett 203(3):183–186, 8742023, 10.1016/0304-3940(96)12303-X, 1:CAS:528:DyaK28XhtVWis7k%3DCrossRefPubMed
20.
go back to reference Marcus DA, Furman JM (2006) Prevention of motion sickness with rizatriptan: a double-blind, placebo-controlled pilot study. Med Sci Monit 12(1):PI1–7 Marcus DA, Furman JM (2006) Prevention of motion sickness with rizatriptan: a double-blind, placebo-controlled pilot study. Med Sci Monit 12(1):PI1–7
21.
go back to reference Evans RW, Marcus D, Furman JM (2007) Motion sickness and migraine. Headache 47(4):607–610, 17445111, 10.1111/j.1526-4610.2007.00762.xCrossRefPubMed Evans RW, Marcus D, Furman JM (2007) Motion sickness and migraine. Headache 47(4):607–610, 17445111, 10.1111/j.1526-4610.2007.00762.xCrossRefPubMed
22.
go back to reference Neuhauser HK, Radtke A, von Brevern M, Feldmann M, Lezius F, Ziese T et al (2006) Migrainous vertigo: prevalence and impact on quality of life. Neurology 67(6):1028–1033, 17000973, 10.1212/01.wnl.0000237539.09942.06, 1:STN:280:DC%2BD28rnt1Shug%3D%3DCrossRefPubMed Neuhauser HK, Radtke A, von Brevern M, Feldmann M, Lezius F, Ziese T et al (2006) Migrainous vertigo: prevalence and impact on quality of life. Neurology 67(6):1028–1033, 17000973, 10.1212/01.wnl.0000237539.09942.06, 1:STN:280:DC%2BD28rnt1Shug%3D%3DCrossRefPubMed
23.
go back to reference Jeong SH, Oh SY, Kim HJ, Koo JW, Kim JS (2009) Vestibular dysfunction in migraine: effects of associated vertigo and motion sickness. J Neurol 257(6):905–912, 20041331, 10.1007/s00415-009-5435-5CrossRefPubMed Jeong SH, Oh SY, Kim HJ, Koo JW, Kim JS (2009) Vestibular dysfunction in migraine: effects of associated vertigo and motion sickness. J Neurol 257(6):905–912, 20041331, 10.1007/s00415-009-5435-5CrossRefPubMed
24.
go back to reference Ahn S-K, Balaban CD (2010) Distribution of 5-HT1B and 5-HT1D receptors in the inner ear. Brain Res 1346:92–101 Ahn S-K, Balaban CD (2010) Distribution of 5-HT1B and 5-HT1D receptors in the inner ear. Brain Res 1346:92–101
25.
go back to reference Kitahara T, Li HS, Balaban CD (2005) Changes in transient receptor potential cation channel superfamily V (TRPV) mRNA expression in the mouse inner ear ganglia after kanamycin challenge. Hear Res 201(1–2):132–144, 15721568, 10.1016/j.heares.2004.09.007, 1:CAS:528:DC%2BD2MXhsVOntrk%3DCrossRefPubMed Kitahara T, Li HS, Balaban CD (2005) Changes in transient receptor potential cation channel superfamily V (TRPV) mRNA expression in the mouse inner ear ganglia after kanamycin challenge. Hear Res 201(1–2):132–144, 15721568, 10.1016/j.heares.2004.09.007, 1:CAS:528:DC%2BD2MXhsVOntrk%3DCrossRefPubMed
26.
go back to reference Kevetter GA, Leonard RB (2002) Molecular probes of the vestibular nerve. II. Characterization of neurons in Scarpa’s ganglion to determine separate populations within the nerve. Brain Res 928(1–2):18–29, 11844468, 10.1016/S0006-8993(01)03264-4, 1:CAS:528:DC%2BD38Xht1ahs70%3DCrossRefPubMed Kevetter GA, Leonard RB (2002) Molecular probes of the vestibular nerve. II. Characterization of neurons in Scarpa’s ganglion to determine separate populations within the nerve. Brain Res 928(1–2):18–29, 11844468, 10.1016/S0006-8993(01)03264-4, 1:CAS:528:DC%2BD38Xht1ahs70%3DCrossRefPubMed
27.
go back to reference Xiang Z, Bo X, Burnstock G (1999) P2X receptor immunoreactivity in the rat cochlea, vestibular ganglion and cochlear nucleus. Hear Res 128(1–2):190–196, 10082298, 10.1016/S0378-5955(98)00208-1, 1:CAS:528:DyaK1MXhs1Cmtrw%3DCrossRefPubMed Xiang Z, Bo X, Burnstock G (1999) P2X receptor immunoreactivity in the rat cochlea, vestibular ganglion and cochlear nucleus. Hear Res 128(1–2):190–196, 10082298, 10.1016/S0378-5955(98)00208-1, 1:CAS:528:DyaK1MXhs1Cmtrw%3DCrossRefPubMed
28.
go back to reference Koo JW, Balaban CD (2006) Serotonin-induced plasma extravasation in the murine inner ear: possible mechanism of migraine-associated inner ear dysfunction. Cephalalgia 26(11):1310–1319, 17059438, 10.1111/j.1468-2982.2006.01208.xCrossRefPubMed Koo JW, Balaban CD (2006) Serotonin-induced plasma extravasation in the murine inner ear: possible mechanism of migraine-associated inner ear dysfunction. Cephalalgia 26(11):1310–1319, 17059438, 10.1111/j.1468-2982.2006.01208.xCrossRefPubMed
29.
go back to reference Afridi SK, Giffin NJ, Kaube H, Friston KJ, Ward NS, Frackowiak RS et al (2005) A positron emission tomographic study in spontaneous migraine. Arch Neurol 62(8):1270–1275, 16087768, 10.1001/archneur.62.8.1270CrossRefPubMed Afridi SK, Giffin NJ, Kaube H, Friston KJ, Ward NS, Frackowiak RS et al (2005) A positron emission tomographic study in spontaneous migraine. Arch Neurol 62(8):1270–1275, 16087768, 10.1001/archneur.62.8.1270CrossRefPubMed
30.
go back to reference Afridi SK, Matharu MS, Lee L, Kaube H, Friston KJ, Frackowiak RS et al (2005) A PET study exploring the laterality of brainstem activation in migraine using glyceryl trinitrate. Brain 128(Pt 4):932–939, 15705611, 10.1093/brain/awh416, 1:STN:280:DC%2BD2M7lsV2jug%3D%3DCrossRefPubMed Afridi SK, Matharu MS, Lee L, Kaube H, Friston KJ, Frackowiak RS et al (2005) A PET study exploring the laterality of brainstem activation in migraine using glyceryl trinitrate. Brain 128(Pt 4):932–939, 15705611, 10.1093/brain/awh416, 1:STN:280:DC%2BD2M7lsV2jug%3D%3DCrossRefPubMed
31.
go back to reference Afridi SK, Goadsby PJ (2006) Neuroimaging of migraine. Curr Pain Headache Rep 10(3):221–224, 18778577, 10.1007/s11916-006-0049-4CrossRefPubMed Afridi SK, Goadsby PJ (2006) Neuroimaging of migraine. Curr Pain Headache Rep 10(3):221–224, 18778577, 10.1007/s11916-006-0049-4CrossRefPubMed
32.
go back to reference May A, Matharu M (2007) New insights into migraine: application of functional and structural imaging. Curr Opin Neurol 20(3):306–309, 17495625, 10.1097/WCO.0b013e328136c20bCrossRefPubMed May A, Matharu M (2007) New insights into migraine: application of functional and structural imaging. Curr Opin Neurol 20(3):306–309, 17495625, 10.1097/WCO.0b013e328136c20bCrossRefPubMed
33.
34.
go back to reference Graybiel A, Knepton J (1976) Sopite syndrome: a sometimes sole manifestation of motion sickness. Aviat Space Environ Med 47(8):873–882, 949309, 1:STN:280:DyaE283lt1eltw%3D%3DPubMed Graybiel A, Knepton J (1976) Sopite syndrome: a sometimes sole manifestation of motion sickness. Aviat Space Environ Med 47(8):873–882, 949309, 1:STN:280:DyaE283lt1eltw%3D%3DPubMed
35.
go back to reference Bernard JF, Bandler R (1998) Parallel circuits for emotional coping behaviour: new pieces in the puzzle. J Comp Neurol 401(4):429–436, 9826271, 10.1002/(SICI)1096-9861(19981130)401:4<429::AID-CNE1>3.0.CO;2-3, 1:STN:280:DyaK1M%2FktFKntg%3D%3DCrossRefPubMed Bernard JF, Bandler R (1998) Parallel circuits for emotional coping behaviour: new pieces in the puzzle. J Comp Neurol 401(4):429–436, 9826271, 10.1002/(SICI)1096-9861(19981130)401:4<429::AID-CNE1>3.0.CO;2-3, 1:STN:280:DyaK1M%2FktFKntg%3D%3DCrossRefPubMed
36.
go back to reference Bandler R, Price JL, Keay KA (2000) Brain mediation of active and passive emotional coping. Prog Brain Res (122):331–349 Bandler R, Price JL, Keay KA (2000) Brain mediation of active and passive emotional coping. Prog Brain Res (122):331–349
37.
go back to reference Donaldson C, Boers PM, Hoskin KL, Zagami AS, Lambert GA (2002) The role of 5-HT1B and 5-HT1D receptors in the selective inhibitory effect of naratriptan on trigeminovascular neurons. Neuropharmacology 42(3):374–385, 11897116, 10.1016/S0028-3908(01)00190-3, 1:CAS:528:DC%2BD38XhvVCjsL8%3DCrossRefPubMed Donaldson C, Boers PM, Hoskin KL, Zagami AS, Lambert GA (2002) The role of 5-HT1B and 5-HT1D receptors in the selective inhibitory effect of naratriptan on trigeminovascular neurons. Neuropharmacology 42(3):374–385, 11897116, 10.1016/S0028-3908(01)00190-3, 1:CAS:528:DC%2BD38XhvVCjsL8%3DCrossRefPubMed
38.
go back to reference Goadsby PJ, Classey JD (2003) Evidence for serotonin (5-HT)1B, 5-HT1D and 5-HT1F receptor inhibitory effects on trigeminal neurons with craniovascular input. Neuroscience 122(2):491–498, 14614913, 10.1016/S0306-4522(03)00570-0, 1:CAS:528:DC%2BD3sXovVWhu74%3DCrossRefPubMed Goadsby PJ, Classey JD (2003) Evidence for serotonin (5-HT)1B, 5-HT1D and 5-HT1F receptor inhibitory effects on trigeminal neurons with craniovascular input. Neuroscience 122(2):491–498, 14614913, 10.1016/S0306-4522(03)00570-0, 1:CAS:528:DC%2BD3sXovVWhu74%3DCrossRefPubMed
39.
go back to reference Jeggo RD, Wang Y, Jordan D, Ramage AG (2007) Activation of 5-HT1B and 5-HT1D receptors in the rat nucleus tractus solitarius: opposing action on neurones that receive an excitatory vagal C-fibre afferent input. Br J Pharmacol 150(8):987–995, 17339842, 10.1038/sj.bjp.0707169, 1:CAS:528:DC%2BD2sXkt1Chsrs%3DPubMedCentralCrossRefPubMed Jeggo RD, Wang Y, Jordan D, Ramage AG (2007) Activation of 5-HT1B and 5-HT1D receptors in the rat nucleus tractus solitarius: opposing action on neurones that receive an excitatory vagal C-fibre afferent input. Br J Pharmacol 150(8):987–995, 17339842, 10.1038/sj.bjp.0707169, 1:CAS:528:DC%2BD2sXkt1Chsrs%3DPubMedCentralCrossRefPubMed
40.
go back to reference Jennings EA, Ryan RM, Christie MJ (2004) Effects of sumatriptan on rat medullary dorsal horn neurons. Pain 111:30–37, 15327806, 10.1016/j.pain.2004.05.018, 1:CAS:528:DC%2BD2cXmvFWrur4%3DCrossRefPubMed Jennings EA, Ryan RM, Christie MJ (2004) Effects of sumatriptan on rat medullary dorsal horn neurons. Pain 111:30–37, 15327806, 10.1016/j.pain.2004.05.018, 1:CAS:528:DC%2BD2cXmvFWrur4%3DCrossRefPubMed
41.
go back to reference Matsuoka T, Hasuo H, Akasu T (2004) 5-Hydroxytryptamine 1B receptors mediate presynaptic inhibition of monosynaptic IPSC in the rat dorsolateral septal nucleus. Neurosci Res 48(3):229–238, 15154669, 10.1016/j.neures.2003.11.004, 1:CAS:528:DC%2BD2cXhtFCitL0%3DCrossRefPubMed Matsuoka T, Hasuo H, Akasu T (2004) 5-Hydroxytryptamine 1B receptors mediate presynaptic inhibition of monosynaptic IPSC in the rat dorsolateral septal nucleus. Neurosci Res 48(3):229–238, 15154669, 10.1016/j.neures.2003.11.004, 1:CAS:528:DC%2BD2cXhtFCitL0%3DCrossRefPubMed
42.
go back to reference Bartsch T, Knight YE, Goadsby PJ (2004) Activation of 5-HT(1B/1D) receptor in the periaqueductal gray inhibits nociception. Ann Neurol 56(3):371–381, 15349864, 10.1002/ana.20193, 1:CAS:528:DC%2BD2cXotFyhs70%3DCrossRefPubMed Bartsch T, Knight YE, Goadsby PJ (2004) Activation of 5-HT(1B/1D) receptor in the periaqueductal gray inhibits nociception. Ann Neurol 56(3):371–381, 15349864, 10.1002/ana.20193, 1:CAS:528:DC%2BD2cXotFyhs70%3DCrossRefPubMed
43.
go back to reference Ahn S-K, Balaban CD (2007) Regional distribution of 5-HT1A, 1B, and 1D receptors in rat vestibular nuclei (VN). Soc Neurosci Abstr 37(#180.5) Ahn S-K, Balaban CD (2007) Regional distribution of 5-HT1A, 1B, and 1D receptors in rat vestibular nuclei (VN). Soc Neurosci Abstr 37(#180.5)
44.
go back to reference Dai M, Raphan T, Cohen B (2007) Labyrinthine lesions and motion sickness susceptibility. Exp Brain Res 178(4):477–487, 17256169, 10.1007/s00221-006-0759-1PubMedCentralCrossRefPubMed Dai M, Raphan T, Cohen B (2007) Labyrinthine lesions and motion sickness susceptibility. Exp Brain Res 178(4):477–487, 17256169, 10.1007/s00221-006-0759-1PubMedCentralCrossRefPubMed
Metadata
Title
Rizatriptan reduces vestibular-induced motion sickness in migraineurs
Authors
Joseph M. Furman
Dawn A. Marcus
Carey D. Balaban
Publication date
01-02-2011
Publisher
Springer Milan
Published in
The Journal of Headache and Pain / Issue 1/2011
Print ISSN: 1129-2369
Electronic ISSN: 1129-2377
DOI
https://doi.org/10.1007/s10194-010-0250-z

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