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Migraine: A Spectrum of Ideas$
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Merton Sandler and Geralyn M. Collins

Print publication date: 1990

Print ISBN-13: 9780192618108

Published to Oxford Scholarship Online: March 2012

DOI: 10.1093/acprof:oso/9780192618108.001.0001

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The neurovascular basis of migraine: some concluding thoughts

The neurovascular basis of migraine: some concluding thoughts

Chapter:
(p.310) 27. The neurovascular basis of migraine: some concluding thoughts
Source:
Migraine: A Spectrum of Ideas
Author(s):

James W. Lance

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780192618108.003.0027

The migraine attack may start in the brain and affect the vascular system secondarily. Feedback from vessels to the brain completes a vicious circle. In the internal carotid circulation, the phase of constriction is associated with neurological symptoms. There may be a diffuse ischaemia of the brain or a progressive, slow march of oligaemia that correlates with spreading depression.

Keywords:   migraine attack, vascular system, internal carotid circulation, constriction, neurological symptoms, ischaemia

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