Document Detail


Migraine and motion sickness: what is the link?
MedLine Citation:
PMID:  20416353     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The brainstem is a structurally complex region, containing numerous ascending and descending fibres that converge on centres that regulate bodily functions essential to life. Afferent input from the cranial tissues and the special senses is processed, in part, in brainstem nuclei. In addition, brainstem centres modulate the flow of pain messages and other forms of sensory information to higher regions of the brain, and influence the general excitability of these cortical regions. Thus, disruptions in brainstem processing might evoke a complex range of unpleasant symptoms, vegetative changes and neurovascular disturbances and that, together, form attacks of migraine. Migraine is linked with various co-morbid conditions, the most prominent being motion sickness. Symptoms such as nausea, dizziness and headache are common to motion sickness and migraine; moreover, migraine sufferers have a heightened vulnerability to motion sickness. As both maladies involve reflexes that relay in the brainstem, symptoms may share the same neural circuitry. In consequence, subclinical interictal persistence of disturbances in these brainstem pathways could not only increase vulnerability to recurrent attacks of migraine but also increase susceptibility to motion sickness. Mechanisms that mediate symptoms of motion sickness and migraine are explored in this paper. The physiology of motion sickness and migraine is discussed, and neurotransmitters that may be involved in the manifestation of symptoms are reviewed. Recent findings have shed light on the relationship between migraine and motion sickness, and provide insights into the generation of migraine attacks.
Authors:
Anna Cuomo-Granston; Peter D Drummond
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review     Date:  2010-04-21
Journal Detail:
Title:  Progress in neurobiology     Volume:  91     ISSN:  1873-5118     ISO Abbreviation:  Prog. Neurobiol.     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-05     Completed Date:  2010-10-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370121     Medline TA:  Prog Neurobiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  300-12     Citation Subset:  IM    
Copyright Information:
(c) 2010. Published by Elsevier Ltd. All rights reserved.
Affiliation:
Faculty of Health Sciences: School of Psychology, Murdoch University, 6150, Western Australia, Australia. a.cgranston@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Animals
Brain Stem / physiopathology
Gastrointestinal Diseases / complications
Humans
Hypothalamus / physiopathology
Migraine Disorders / complications*,  pathology
Motion Sickness / complications*,  pathology
Serotonin / metabolism
Vascular Diseases / complications
Vestibular Diseases / complications
Chemical
Reg. No./Substance:
50-67-9/Serotonin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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