Skip to main content

Calcitonin Gene-Related Peptide and Migraine Headaches

  • Reference work entry
Encyclopedia of Pain

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...

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 1,250.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Burstein R, Yarnitsky D, Goor-Aryeh I et al. (2000) An association between migraine and cutaneous allodynia. Ann Neurol 47:614–624

    Google Scholar 

  2. Doods H (2001) Development of CGRP antagonists for the treatment of migraine. Curr Opin Investig Drugs 9:1261–1268

    Google Scholar 

  3. Goadsby PJ, Edvinsson L (1994) Neuropeptides in migraine and cluster headache. Cephalalgia 14:320–327

    Google Scholar 

  4. Graham JR, Wolff HG (1938) Mechanism of migraine headache and action of ergotamine tartrate. Arch Neurol Psychiatry 39:737–763

    Google Scholar 

  5. 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

    Google Scholar 

  6. Headache Classification Subcommittee of the International Headache Society (2004) The international classification of Headache disorders. Cephalalgia 24:9–160

    Google Scholar 

  7. Knight YE, Goadsby PJ (2001) The periaqueductal grey matter modulates trigeminovascular input: a role in migraine? Neuroscience 106:793–800

    Google Scholar 

  8. May A (2003) Headache: lessons learned from functional imaging. Br Med Bull 65:223–234

    Google Scholar 

  9. 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

    Google Scholar 

  10. 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

    Google Scholar 

  11. 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

    Google Scholar 

  12. 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

    Google Scholar 

  13. Weiller C, May A, Limmroth V et al. (1995) Brain stem activation in spontaneous human migraine attacks. Nat Med 1:658–660

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints 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

Publish with us

Policies and ethics