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Visceral Pain Threshold is Deeply Lowered Far From the Head in Migraine

 

作者: Maria Nicolodi,   Riccardo Sicuteri,   Giulio Coppola,   Enzo Greco,   Umberto Pietrini,   Federigo Sicuteri,  

 

期刊: Headache: The Journal of Head and Face Pain  (WILEY Available online 1994)
卷期: Volume 34, issue 1  

页码: 12-19

 

ISSN:0017-8748

 

年代: 1994

 

DOI:10.1111/j.1526-4610.1994.hed3401012.x

 

出版商: Blackwell Science Inc

 

关键词: migraine;visceral pain threshold;hypertonic saline;vein distensio

 

数据来源: WILEY

 

摘要:

SYNOPSISA short‐lasting over‐distension of the hand‐forearm veins, obtained through a non‐invasive original maneuver (Hand Arm Vein Distension test) induces local pain when applied to mi‐graine sufferers in inter‐critical period. Conversely, subjects with an absolutely negative personal and family history for any type of idiopathic headache do not report any pain or only an uncertain, slight one.The injection of 1 mL of 2% to 8% (i.e. 0.34 mol/L to 1.36 mol/L) hypertonic saline into the antecubital vein during an extemporary short 1 minute) circulatory blockage (ischemia induced to guarantee a strictly local action of the chemical stimulus) provokes moderate, strong or unbearable local (arm vein) pain in migraine sufferers but not in subjects with a personal and family history absolutely free from any type of headache. These results show for the first time that migraineurs show a proneness to visceral pain in viscera (veins) distant from the head (arm‐hand). Such finding is consistent with the theory that migraine pain is due to a central derangement of the visceros

 

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