4.5 Review

Multisensory integration in migraine

Journal

CURRENT OPINION IN NEUROLOGY
Volume 26, Issue 3, Pages 248-253

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/WCO.0b013e328360edb1

Keywords

cutaneous allodynia; migraine; migraine pathophysiology; multisensory integration; sensitization

Funding

  1. NIH
  2. American Headache Society
  3. National Headache Foundation
  4. NIH NINDS [K23NS070891]

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Purpose of review Migraine attacks consist of head pain and hypersensitivities to somatosensory, visual, auditory, and olfactory stimuli. Investigating how the migraine brain simultaneously processes and responds to multiple incoming stimuli may yield insights into migraine pathophysiology and migraine symptoms. Recent findings The presence and intensity of hypersensitivity to one stimulus type are positively associated with the presence and intensity of hypersensitivities to other stimuli and to headache intensity. Furthermore, exposure to visual, auditory, and olfactory stimuli can trigger migraine attacks. These relationships suggest a role for multisensory integration in migraine. Summary Multisensory integration of somatosensory, visual, auditory, and olfactory stimuli by the migraine brain may be an important concept for understanding migraine.

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