Massaging over the greater occipital nerve reduces the intensity of migraine attacks: evidence for inhibitory trigemino-cervical convergence mechanisms

Arquivos de Neuro-Psiquiatria

Elcio Juliato Piovesan²  Fabrizio Di Stani¹  Pedro André Kowacs²  Rogério Andrade Mulinari¹  Victor Hugo Radunz¹  Marco Utiumi¹  Eder B Muranka¹  Mario Luiz Giublin²  Lineu César Werneck² 

[1] ,Federal University of Paraná Hospital de Clínicas Internal Medicine Department

关键词: DNIC;    inhibitory control of pain;    migraine;    controle de dor;    MCIN;    enxaqueca;   

DOI  :  10.1590/S0004-282X2007000400010

来源: SciELO

【 摘 要 】

Activation of the trigemino-cervical system constitutes one of the first steps in the genesis of migraine. The objective of this study was to confirm the presence of trigemino-cervical convergence mechanisms and to establish whether such mechanisms may also be of inhibitory origin. We describe a case of a 39-years-old woman suffering from episodic migraine who showed a significant improvement in her frontal headache during migraine attacks if the greater occipital nerve territory was massaged after the appearance of static mechanical allodynia (cortical sensitization). We review trigemino-cervical convergence and diffuse nociceptive inhibitory control (DNIC) mechanisms and suggest that the convergence mechanisms are not only excitatory but also inhibitory.

【 授权许可】

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