2024
Migraine - a borderland disease to epilepsy: near it but not of it
PAUNGARTTNER, Jakob; Martina QUARTANA; Lucrezia PATTI; Barbora SKLENÁROVÁ; Fatemeh FARHAM et. al.Základní údaje
Originální název
Migraine - a borderland disease to epilepsy: near it but not of it
Autoři
PAUNGARTTNER, Jakob; Martina QUARTANA; Lucrezia PATTI; Barbora SKLENÁROVÁ; Fatemeh FARHAM; Ines Hernando JIMENEZ; M Gokcen SOYLU; Irina Maria VLAD; Semih TASDELEN; Teresa MATEU; Oreste MARSICO; Federica REINA; Viktoria TISCHLER a Christian LAMPL
Vydání
JOURNAL OF HEADACHE AND PAIN, LONDON, BMC, 2024, 1129-2369
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30210 Clinical neurology
Stát vydavatele
Velká Británie a Severní Irsko
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 7.900
Kód RIV
RIV/00216224:14110/24:00136825
Organizační jednotka
Lékařská fakulta
UT WoS
001148741800001
EID Scopus
2-s2.0-85182987193
Klíčová slova anglicky
Migraine; Epilepsy; Neurotransmitters; Genetics; Hemiplegic migraine; Migralepsy; Anti-seizure medication
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 3. 3. 2025 09:40, Mgr. Tereza Miškechová
Anotace
V originále
BackgroundMigraine and epilepsy are two paroxysmal chronic neurological disorders affecting a high number of individuals and being responsible for a high individual and socioeconomic burden. The link between these disorders has been of interest for decades and innovations concerning diagnosing and treatment enable new insights into their relationship.FindingsAlthough appearing to be distinct at first glance, both diseases exhibit a noteworthy comorbidity, shared pathophysiological pathways, and significant overlaps in characteristics like clinical manifestation or prophylactic treatment. This review aims to explore the intricate relationship between these two conditions, shedding light on shared pathophysiological foundations, genetic interdependencies, common and distinct clinical features, clinically overlapping syndromes, and therapeutic similarities. There are several shared pathophysiological mechanisms, like CSD, the likely underlying cause of migraine aura, or neurotransmitters, mainly Glutamate and GABA, which represent important roles in triggering migraine attacks and seizures. The genetic interrelations between the two disorders can be observed by taking a closer look at the group of familial hemiplegic migraines, which are caused by mutations in genes like CACNA1A, ATP1A2, or SCN1A. The intricate relationship is further underlined by the high number of shared clinical features, which can be observed over the entire course of migraine attacks and epileptic seizures. While the variety of the clinical manifestation of an epileptic seizure is naturally higher than that of a migraine attack, a distinction can indeed be difficult in some cases, e.g. in occipital lobe epilepsy. Moreover, triggering factors like sleep deprivation or alcohol consumption play an important role in both diseases. In the period after the seizure or migraine attack, symptoms like speech difficulties, tiredness, and yawning occur. While the actual attack of the disease usually lasts for a limited time, research indicates that individuals suffering from migraine and/or epilepsy are highly affected in their daily life, especially regarding cognitive and social aspects, a burden that is even worsened using antiseizure medication. This medication allows us to reveal further connections, as certain antiepileptics are proven to have beneficial effects on the frequency and severity of migraine and have been used as a preventive drug for both diseases over many years.ConclusionMigraine and epilepsy show a high number of similarities in their mechanisms and clinical presentation. A deeper understanding of the intricate relationship will positively advance patient-oriented research and clinical work.