Migraine: Advances in the Pathogenesis and Treatment.

IF 3.2 Q2 CLINICAL NEUROLOGY Neurology International Pub Date : 2023-08-31 DOI:10.3390/neurolint15030067
Horia Pleș, Ioan-Alexandru Florian, Teodora-Larisa Timis, Razvan-Adrian Covache-Busuioc, Luca-Andrei Glavan, David-Ioan Dumitrascu, Andrei Adrian Popa, Andrei Bordeianu, Alexandru Vlad Ciurea
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Abstract

This article presents a comprehensive review on migraine, a prevalent neurological disorder characterized by chronic headaches, by focusing on their pathogenesis and treatment advances. By examining molecular markers and leveraging imaging techniques, the research identifies key mechanisms and triggers in migraine pathology, thereby improving our understanding of its pathophysiology. Special emphasis is given to the role of calcitonin gene-related peptide (CGRP) in migraine development. CGRP not only contributes to symptoms but also represents a promising therapeutic target, with inhibitors showing effectiveness in migraine management. The article further explores traditional medical treatments, scrutinizing the mechanisms, benefits, and limitations of commonly prescribed medications. This provides a segue into an analysis of emerging therapeutic strategies and their potential to enhance migraine management. Finally, the paper delves into neuromodulation as an innovative treatment modality. Clinical studies indicating its effectiveness in migraine management are reviewed, and the advantages and limitations of this technique are discussed. In summary, the article aims to enhance the understanding of migraine pathogenesis and present novel therapeutic possibilities that could revolutionize patient care.

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偏头痛:发病机制和治疗进展。
本文对偏头痛这一以慢性头痛为特征的常见神经系统疾病的发病机制和治疗进展进行了全面综述。通过检查分子标记物和利用成像技术,该研究确定了偏头痛病理学的关键机制和触发因素,从而提高了我们对其病理生理学的理解。特别强调降钙素基因相关肽(CGRP)在偏头痛发展中的作用。CGRP不仅有助于症状,而且是一个有前景的治疗靶点,抑制剂在偏头痛治疗中显示出有效性。这篇文章进一步探讨了传统的医疗方法,仔细研究了常用处方药的作用机制、益处和局限性。这为分析新兴的治疗策略及其增强偏头痛管理的潜力提供了一个切入点。最后,本文探讨了神经调控作为一种创新的治疗方式。综述了表明其在偏头痛治疗中有效性的临床研究,并讨论了该技术的优点和局限性。总之,这篇文章旨在加深对偏头痛发病机制的理解,并提出新的治疗可能性,从而彻底改变患者护理。
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来源期刊
Neurology International
Neurology International CLINICAL NEUROLOGY-
CiteScore
3.70
自引率
3.30%
发文量
69
审稿时长
11 weeks
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