Evidence-based review and frontiers of migraine therapy.

Neurogastroenterol Motil

Department of Neurology and Ophthalmology, Michigan State University College of Human Medicine, Grand Rapids, Michigan, USA.

Published: August 2024

AI Article Synopsis

  • Cyclic vomiting syndrome (CVS) is linked to migraines and may share common biological mechanisms, like hypothalamic activation and altered dopamine signaling.
  • Recent advancements in migraine treatments could also benefit CVS, despite limited research on their effectiveness for this condition.
  • The manuscript focuses on emerging migraine therapies, including CGRP-targeting drugs and neuromodulation devices, which might be helpful for treating CVS in the future.

Article Abstract

Background: Cyclic vomiting syndrome (CVS) is identified as one of the "episodic syndromes that may be associated with migraine," along with benign paroxysmal torticollis, benign paroxysmal vertigo, and abdominal migraine. It has been proposed that CVS and migraine may share pathophysiologic mechanisms of hypothalamic activation and altered dopaminergic signaling, and impaired sensorimotor intrinsic connectivity. The past decade has brought groundbreaking advances in the treatment of migraine and other headache disorders. While many of these therapies have yet to be studied in episodic syndromes associated with migraine including CVS and abdominal migraine, the potential shared pathophysiology among these conditions suggests that use of migraine-specific treatments may have a beneficial role even in those for whom headache is not the primary symptom.

Purpose: This manuscript highlights newer therapies in migraine. Calcitonin gene-related peptide (CGRP) and its relation to migraine pathophysiology and the therapies that target the CGRP pathway, as well as a 5HT1F receptor agonist and neuromodulation devices used to treat migraine are briefly discussed as they may potentially prove to be useful in the future treatment of CVS.

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Source
http://dx.doi.org/10.1111/nmo.14899DOI Listing

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