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Fibromyalgia (FM) & headache. Failure of serotonergic analgesia & N-methyl-D-aspartate-mediated neuronal plasticity: their common clues

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By Nicolodi M, Volpe AR, Sicuteri F • www.ProHealth.com • February 16, 1998


A defect in serotonergic analgesia and a hyperalgesic state
are proposed as features common to headache and fibromyalgia.
The benefit to both migraine and fibromyalgia from inhibiting
ionotropic N-methyl-D- aspartate receptor activity implies
that redundant hyperalgesia-related neuroplastic changes are
crucial for severe or chronic migraine and primary
fibromyalgia. The fact that migraine and primary fibromyalgia
share some pivotal set-up of serotonergic and excitatory amino
acid systems led us to analyse epidemiological data supporting
the hypothesis that analgesic disruption and a consequent
hyperalgesic state are mechanisms of both migraine and
fibromyalgia. Beyond demonstrating the comorbidity between
migraine and primary fibromyalgia, the data suggest that
migraine may represent a risk factor for fibromyalgia.




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