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偏头痛是由于松果体褪黑素缺乏所致吗?

Is migraine due to a deficiency of pineal melatonin?

作者信息

Toglia J U

出版信息

Ital J Neurol Sci. 1986 Jun;7(3):319-23. doi: 10.1007/BF02340869.

Abstract

Recent clinical observations favor the theory that migraine is caused by a primary injury of cerebral neurons with secondary involvement of intracranial and extracranial blood vessels. The primary injury is attributed to disruption of cerebral neurotransmitters and particularly the neuroadrenergic and serotonergic systems. These theories have not explained the importance of environmental factors, which so frequently trigger migraine. The author suggests that the pineal gland, which is outside the CNS unprotected by blood brain barrier and sensitive to external stimuli, could act as the intermediate causative factor of migraine, via a derangement of melatonin.

摘要

最近的临床观察支持这样一种理论,即偏头痛是由脑神经元的原发性损伤引起的,继而累及颅内和颅外血管。原发性损伤归因于脑神经递质的紊乱,尤其是神经肾上腺素能和血清素能系统。这些理论尚未解释环境因素的重要性,而环境因素却常常引发偏头痛。作者认为,松果体位于中枢神经系统之外,不受血脑屏障保护且对外部刺激敏感,它可能通过褪黑素紊乱而成为偏头痛的中间致病因素。

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