Bridging neurophysiology and immunology in chronic headache: evidence from a clinical cohort study
Akhmedova Dilafruz Bahodirovna , Bukhara State Medical Institute, Uzbekistan Khodjiyeva Dilbar Tadjiyevna , Bukhara State Medical Institute, UzbekistanAbstract
Chronic headache disorders, particularly chronic migraine, present significant diagnostic and therapeutic challenges due to their complex neurobiological underpinnings. This study aims to elucidate the clinical, neurophysiological, and neuroimmunological characteristics of various chronic headache forms and to propose optimized treatment strategies based on individualized assessments. A cohort of patients with chronic migraine and other persistent headache syndromes underwent comprehensive evaluation, including EEG analysis, autonomic testing, and immunological profiling. Our findings reveal distinct neurophysiological markers, such as alterations in cortical excitability and autonomic imbalance, as well as specific immune patterns that correlate with headache severity and frequency. Moreover, personalized treatment protocols, integrating pharmacological, neuro-modulatory, and lifestyle interventions, demonstrated improved therapeutic outcomes compared to standard regimens. These results highlight the necessity of a multimodal diagnostic and therapeutic approach in managing chronic headaches effectively.
Keywords
Chronic headache, migraine, neurophysiology
References
Headache Classification Committee of the International Headache Society (IHS). (2018). The International Classification of Headache Disorders, 3rd edition. Cephalalgia, 38(1), 1–211.
May, A., & Schulte, L.H. (2016). Chronic migraine: Risk factors, mechanisms and treatment. Nat Rev Neurol, 12(8), 455–464.
Lipton, R.B., et al. (2007). Migraine prevalence, disease burden, and the need for preventive therapy. Neurology, 68(5), 343–349.
Coppola, G., et al. (2019). Neurophysiological correlates of migraine chronification. J Headache Pain, 20(1), 115.
Goadsby, P.J., et al. (2017). Pathophysiology of migraine. Physiol Rev, 97(2), 553–622. https://doi.org/10.1152/physrev.00034.2015
Arumugam, K., et al. (2021). Role of inflammation in migraine. Int J Neurosci, 131(3), 275–285.
Peres, M.F.P., et al. (2001). Hypothalamic involvement in chronic migraine. JNNP, 71(6), 747–751.
Charles, A. (2013). Migraine: A brain state. Curr Opin Neurol, 26(3), 235–239.
Silberstein, S.D., et al. (2021). Pharmacologic treatment for episodic migraine. Neurology, 97(10), 918–932.
Ashina, M. (2020). Migraine. N Engl J Med, 383(19), 1866–1876.
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