Synonym
CGRP
Definition
Migraineis a complex, multi-symptom disease affecting 10-16% of the western population. It has a higher prevalence in women than in men. Migraine characteristics are its episodic appearance and symptoms such as unilateral headache, phono- and/or photo-phobia, facial mechanical allodynia and nausea and vomiting (Headache Classification Subcommittee of the International Headache Society 2004). Preceding the headache, 20–30% of the patients experience focal neurological symptoms termed aura. Based on the presence or absence of an aura, migraines are classified as either “classical” migraine (migraine with aura), or “common” migraine (migraine without aura). Generally, a migraine attack can be subdivided into different phases that include the premonitory phase, headache and the postdrome. The prevalence of the different symptoms varies over the phases with e.g. being tired and weary as approximately equally prominent in all phases and “stiff neck” being most...
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Burstein R, Yarnitsky D, Goor-Aryeh I et al. (2000) An association between migraine and cutaneous allodynia. Ann Neurol 47:614–624
Doods H (2001) Development of CGRP antagonists for the treatment of migraine. Curr Opin Investig Drugs 9:1261–1268
Goadsby PJ, Edvinsson L (1994) Neuropeptides in migraine and cluster headache. Cephalalgia 14:320–327
Graham JR, Wolff HG (1938) Mechanism of migraine headache and action of ergotamine tartrate. Arch Neurol Psychiatry 39:737–763
Hadjikhani N, Sanchez Del Rio M, Wu O et al. (2001) Mechanisms of migraine aura revealed by functional MRI in human visual cortex. Proc Natl Acad Sci USA 98:4687–4692
Headache Classification Subcommittee of the International Headache Society (2004) The international classification of Headache disorders. Cephalalgia 24:9–160
Knight YE, Goadsby PJ (2001) The periaqueductal grey matter modulates trigeminovascular input: a role in migraine? Neuroscience 106:793–800
May A (2003) Headache: lessons learned from functional imaging. Br Med Bull 65:223–234
Olesen J, Diener HC, Husstedt IW et al. (2004) BIBN 4096 BS Clinical Proof of Concept Study Group. Calcitonin gene-related peptide receptor antagonist BIBN 4096 BS for the acute treatment of migraine. N Engl J Med 350:1104–1110
Petersen KA, Lassen LH, Birk S et al. (2005) BIBN4096BS antagonizes human alpha-calcitonin gene related peptide-induced headache and extracerebral artery dilatation. J Clin Pharmacol Ther 77:202–213
Poyner DR, Sexton PM, Marshall I et al. (2002) International Union of Pharmacology. XXXII. The mammalian calcitonin gene-related peptides, adrenomedullin, amylin, and calcitonin receptors. Pharmacol Rev 54:233–246
Sarchielli P, Alberti A, Codini M et al. (2000) Nitric oxide metabolites, prostaglandins and trigeminal vasoactive peptides in internal jugular vein blood during spontaneous migraine attacks. Cephalalgia 20:907–918
Weiller C, May A, Limmroth V et al. (1995) Brain stem activation in spontaneous human migraine attacks. Nat Med 1:658–660
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2007 Springer-Verlag Berlin Heidelberg
About this entry
Cite this entry
Arndt, K., Just, S., Doods, H. (2007). Calcitonin Gene-Related Peptide and Migraine Headaches. In: Schmidt, R., Willis, W. (eds) Encyclopedia of Pain. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-29805-2_505
Download citation
DOI: https://doi.org/10.1007/978-3-540-29805-2_505
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-43957-8
Online ISBN: 978-3-540-29805-2
eBook Packages: MedicineReference Module Medicine