Persistent Post-Traumatic Headache and Migraine: Pre-Clinical Comparisons

Matilde Capi, Leda Marina Pomes, Giulia Andolina, Martina Curto, Paolo Martelletti and Luana Lionetto
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Matilde Capi: Department of Neurosciences, Mental Health & Sensory Organs (NESMOS), Sapienza University of Rome, 00185 Rome, Italy
Leda Marina Pomes: Department of Neurosciences, Mental Health & Sensory Organs (NESMOS), Sapienza University of Rome, 00185 Rome, Italy
Giulia Andolina: Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, 98122 Messina, Italy
Martina Curto: Department of Human Neurosciences, Sapienza University of Rome, 00185 Rome, Italy
Paolo Martelletti: Sant’Andrea Hospital, Regional Referral Headache Centre, 00189 Rome, Italy
Luana Lionetto: Mass Spectrometry Lab-Clinical Biochemistry Unit, Sant’Andrea University Hospital, 00189 Rome, Italy

IJERPH, 2020, vol. 17, issue 7, 1-11

Abstract: Background: Oftentimes, persistent post traumatic headache (PPTH) and migraine are phenotypically similar and the only clinical feature that differentiate them is the presence of a mild or moderate traumatic brain injury (mTBI). The aim of this study is to describe the differences in brain area and in biochemical cascade after concussion and to define the efficacy and safety of treatments in use. Methods: Sources were chosen in according to the International Classification of Headache Disorder (ICHD) criteria. Results: The articles demonstrated a significant difference between PPTH and migraine regarding static functional connectivity (sFC) and dynamic functional connectivity (dFC) in brain structure that could be used for exploring the pathophysiological mechanisms in PPTH. Many studies described a cascade of neuro-metabolic changes that occur after traumatic brain injury. These variations are associated to the mechanism occurring when developing a PPTH. Conclusions: The state of art of this important topic show how although the mechanisms underlying the development of the two different diseases are different, the treatment of common migraine is efficacious in patients that have developed a post traumatic form.

Keywords: PTTH; migraine; persistent post-traumatic headache; pathophysiology; drugs; traumatic-brain injury (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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