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Migraine Prophylaxis, Ischemic Depolarizations, and Stroke Outcomes in Mice
Author(s) -
Katharina EikermannHaerter,
Jeong Hyun Lee,
Nilufer Yalcin,
Esther S. Yu,
Ali Daneshmand,
Ying Wei,
Yi Zheng,
Anil Can,
Buse Sengul,
Michel D. Ferrari,
Arn M. J. M. van den Maagdenberg,
Cenk Ayata
Publication year - 2014
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/strokeaha.114.006982
Subject(s) - medicine , migraine , topiramate , cortical spreading depression , stroke (engine) , anesthesia , migraine with aura , ischemia , lamotrigine , familial hemiplegic migraine , cardiology , aura , epilepsy , psychiatry , mechanical engineering , engineering
Migraine with aura is an established stroke risk factor, and excitatory mechanisms such as spreading depression (SD) are implicated in the pathogenesis of both migraine and stroke. Spontaneous SD waves originate within the peri-infarct tissue and exacerbate the metabolic mismatch during focal cerebral ischemia. Genetically enhanced SD susceptibility facilitates anoxic depolarizations and peri-infarct SDs and accelerates infarct growth, suggesting that susceptibility to SD is a critical determinant of vulnerability to ischemic injury. Because chronic treatment with migraine prophylactic drugs suppresses SD susceptibility, we tested whether migraine prophylaxis can also suppress ischemic depolarizations and improve stroke outcome.

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