Cranial Autonomic Symptoms and Migraine: What Relationship and What Meaning? A Review

Cranial autonomic symptoms (CAS) have been usually associated with trigeminal autonomic cephalalgias (TAC’s), however in the last few years several reports in adult and pediatric population have reported important presence of the CAS in migraine. Also several evidences experimentally show that the i...

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Main Authors: Salvatore Lo Cascio, Edvige Correnti, Sofia D’Agostino, Mariarita Capizzi, Antonio Marino, Raffaele Meli, Salvatore Lo Nobile, Vincenzo Raieli
Format: Article
Language:English
Published: IMR Press 2022-10-01
Series:Journal of Integrative Neuroscience
Subjects:
Online Access:https://www.imrpress.com/journal/JIN/21/6/10.31083/j.jin2106166
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author Salvatore Lo Cascio
Edvige Correnti
Sofia D’Agostino
Mariarita Capizzi
Antonio Marino
Raffaele Meli
Salvatore Lo Nobile
Vincenzo Raieli
author_facet Salvatore Lo Cascio
Edvige Correnti
Sofia D’Agostino
Mariarita Capizzi
Antonio Marino
Raffaele Meli
Salvatore Lo Nobile
Vincenzo Raieli
author_sort Salvatore Lo Cascio
collection DOAJ
description Cranial autonomic symptoms (CAS) have been usually associated with trigeminal autonomic cephalalgias (TAC’s), however in the last few years several reports in adult and pediatric population have reported important presence of the CAS in migraine. Also several evidences experimentally show that the increased parasympathetic outflow can enhance the sensitization of nociceptive receptors involved in migraine. The presence of CAS suggests an activation of the trigeminal-autonomic reflex, probably related to an over-activation of the trigeminal afferent arm. For these reasons identifing and understanding of these symptoms in migraine may be important to help in the diagnosis and effective management. The purpose of this review is, analyzing the literature data, to discuss the prevalence of these CAS in migraine, the pathophysiological meaning in the pathogenesis of migraine and whether their presence influences the prognosis and therapy of migraine in adult and pediatric age.
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spelling doaj.art-2f85d7d166544487bbc664e8ea272e472022-12-22T02:54:46ZengIMR PressJournal of Integrative Neuroscience0219-63522022-10-0121616610.31083/j.jin2106166S0219-6352(22)00428-4Cranial Autonomic Symptoms and Migraine: What Relationship and What Meaning? A ReviewSalvatore Lo Cascio0Edvige Correnti1Sofia D’Agostino2Mariarita Capizzi3Antonio Marino4Raffaele Meli5Salvatore Lo Nobile6Vincenzo Raieli7Child Neuropsychiatry Unit Department, Pro.M.I.S.E. "G D'Alessandro", University of Palermo, 90133 Palermo, ItalyChild Neuropsychiatry Department, ISMEP - ARNAS Civico Palermo, via dei Benedettini, 90100 Palermo, ItalyChild Neuropsychiatry Unit Department, Pro.M.I.S.E. "G D'Alessandro", University of Palermo, 90133 Palermo, ItalyChild Neuropsychiatry Unit Department, Pro.M.I.S.E. "G D'Alessandro", University of Palermo, 90133 Palermo, ItalyChild Neuropsychiatry Unit Department, Pro.M.I.S.E. "G D'Alessandro", University of Palermo, 90133 Palermo, ItalyChild Neuropsychiatry Unit Department, Pro.M.I.S.E. "G D'Alessandro", University of Palermo, 90133 Palermo, ItalyChild Neuropsychiatry Unit Department, Pro.M.I.S.E. "G D'Alessandro", University of Palermo, 90133 Palermo, ItalyChild Neuropsychiatry Department, ISMEP - ARNAS Civico Palermo, via dei Benedettini, 90100 Palermo, ItalyCranial autonomic symptoms (CAS) have been usually associated with trigeminal autonomic cephalalgias (TAC’s), however in the last few years several reports in adult and pediatric population have reported important presence of the CAS in migraine. Also several evidences experimentally show that the increased parasympathetic outflow can enhance the sensitization of nociceptive receptors involved in migraine. The presence of CAS suggests an activation of the trigeminal-autonomic reflex, probably related to an over-activation of the trigeminal afferent arm. For these reasons identifing and understanding of these symptoms in migraine may be important to help in the diagnosis and effective management. The purpose of this review is, analyzing the literature data, to discuss the prevalence of these CAS in migraine, the pathophysiological meaning in the pathogenesis of migraine and whether their presence influences the prognosis and therapy of migraine in adult and pediatric age.https://www.imrpress.com/journal/JIN/21/6/10.31083/j.jin2106166migrainecranial autonomic symptomsparasympathetic systemchildrenadulttrigeminal autonomic cephalgias
spellingShingle Salvatore Lo Cascio
Edvige Correnti
Sofia D’Agostino
Mariarita Capizzi
Antonio Marino
Raffaele Meli
Salvatore Lo Nobile
Vincenzo Raieli
Cranial Autonomic Symptoms and Migraine: What Relationship and What Meaning? A Review
Journal of Integrative Neuroscience
migraine
cranial autonomic symptoms
parasympathetic system
children
adult
trigeminal autonomic cephalgias
title Cranial Autonomic Symptoms and Migraine: What Relationship and What Meaning? A Review
title_full Cranial Autonomic Symptoms and Migraine: What Relationship and What Meaning? A Review
title_fullStr Cranial Autonomic Symptoms and Migraine: What Relationship and What Meaning? A Review
title_full_unstemmed Cranial Autonomic Symptoms and Migraine: What Relationship and What Meaning? A Review
title_short Cranial Autonomic Symptoms and Migraine: What Relationship and What Meaning? A Review
title_sort cranial autonomic symptoms and migraine what relationship and what meaning a review
topic migraine
cranial autonomic symptoms
parasympathetic system
children
adult
trigeminal autonomic cephalgias
url https://www.imrpress.com/journal/JIN/21/6/10.31083/j.jin2106166
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