PT  - JOURNAL ARTICLE
AU  - Nazia Karsan
AU  - Peter J Goadsby
TI  - Migraine: beyond pain
AID  - 10.1136/practneurol-2020-002844
DP  - 2021 Sep 23
TA  - Practical Neurology
PG  - practneurol-2020-002844
4099  - http://pn.bmj.com/content/early/2021/10/01/practneurol-2020-002844.short
4100  - http://pn.bmj.com/content/early/2021/10/01/practneurol-2020-002844.full
AB  - Most people who see, treat or experience migraine will be aware that its clinical manifestations exceed the symptom of head pain. However, available acute treatments so far have targeted migraine symptoms only in the context of the pain phase of an attack. The associated disability clearly involves more than just these symptoms, and the phenotype can include additional painless features, including alterations in mood,cognition and homeostasis and sensory sensitivities. Recognising these symptoms, understanding their neurobiological basis and systematically recording them prospectively in clinical therapeutic trials are likely to offer valuable pathophysiological and therapeutic insights into this complex brain disorder, ultimately helping to improve the quality of lives of sufferers. We aim to explore the multifaceted disorder that is migraine, with a particular focus on the non-painful non-aura symptoms.