Published in:
Open Access
01-02-2013 | Poster presentation
Methyprednisolone i.v. alters levels of CGRP and melatonin in cluster headache patients
Authors:
L Neeb, L Anders, P Euskirchen, J Hoffmann, U Reuter
Published in:
The Journal of Headache and Pain
|
Special Issue 1/2013
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Excerpt
Treatment with steroids for short term cluster headache (CH) prophylaxis is a widely accepted therapy. However, the mechanism of action of steroids in CH prophylaxis is unknown. Various studies could show that the trigeminovascular system and the hypothalamus play probably a key role in CH pathophysiology. The neuropeptid calcitonin gene related peptide (CGRP) is released in an acute attack indicating activation of the trigeminovasclular system.[
1] The hypothalamus regulates the circadian secretion of melatonin which is reduced in CH patients during a bout.[
2] …