Brain Excitability in Tension-Type Headache: a Separate Entity from Migraine?

Wei Ta Chen*, Fu Jung Hsiao, Shuu Jiun Wang

*此作品的通信作者

研究成果: Review article同行評審

1 引文 斯高帕斯(Scopus)

摘要

Purpose of Review: Tension-type headache is often regarded as the “normal” headache due to its high prevalence and mild disability in contrast with migraine. Clinically, both headaches are common comorbidities to each other. To date there has been many studies linked migraine to a brain excitability disorder. This review summarized earlier studies on brain excitability of TTH and discuss if TTH is a separate clinical entity from migraine as suggested by the diagnostic criteria. Recent Findings: A recent magnetoencephalographic study from our group enrolled patients with “strict-criteria” TTH (i.e., absence of any migraine characteristics and associated symptoms) to compare the somatosensory excitability with patients with migraine and controls. This study provided evidence that TTH and migraine differ in excitability profiles and the measurement of preactivation excitability was able to discriminate TTH from migraine. Summary: Earlier studies on brain excitability of TTH yielded negative findings or a common change shared with migraine. Future studies using strict diagnostic criteria to avoid the unwanted interference from migraine comorbidity may help decipher the “true” pathophysiology of TTH, which may pave the way to a TTH-specific brain signature and treatment.

原文English
文章編號82
期刊Current Pain and Headache Reports
24
發行號12
DOIs
出版狀態Published - 12月 2020

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