Exteroceptive Silent Period of Temporalis Muscle in Menstrual Headaches

Schoenen, Jean; Bottin, D.; Sulon, J.; Gaspard, Ulysse; Lambotte, R

doi:10.1046/j.1468-2982.1991.1102087.x

Cited by 28 publications

(16 citation statements)

References 22 publications

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“…Analyses pertaining to responses to the cold pressor task (ie, pain threshold and tolerance) failed to show statistically significant group differences, even when covarying the pain‐related anxiety/fear measures. This finding fits within a developing pattern in the literature suggesting that pain perceptions of headache and control participants are likely to differ only when the pain originates from the head 5‐8 . Clearly, future studies examining pain perception differences in patients with headache should carefully consider what appears to be converging evidence and focus their attention on pain perception more specific to headache disorders.…”

Section: Commentssupporting

confidence: 82%

Perceptions of Pain in Women With Headache: A Laboratory Investigation of the Influence of Pain‐Related Anxiety and Fear

et al. 2001

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The present study compared the responses of women with headache (chronic tension-type, n = 27; migraine, n = 27) and controls (n = 27) to an acute pain laboratory task, the cold pressor test. Participants' pain perception (i.e., threshold and tolerance) and their fear/anxiety associated with pain were assessed during days 1, 2, or 3 of menses. Analyses pertaining to participants' responses to the cold pressor test (ie, pain threshold and tolerance) failed to show statistically significant group differences, even when covarying pain-related anxiety/fear. Analyses did, however, reveal significant group differences between migraineurs and controls in cognitive anxiety. Correlational analyses also revealed that cognitive anxiety, somatic anxiety, fear, and escape/avoidance were all significantly correlated with pain tolerance in the group with chronic tension-type headache, but not in the other two groups. Subsequent multiple regressions, however, showed that the relationship between anxiety and pain tolerance was primarily a function of somatic anxiety. These results suggest that headache frequency plays a role in mediating the relationship between fear of pain and pain tolerance and that the models by Lethem and colleagues and McCracken may be relevant for understanding tension headache sufferers' responses to head pain.

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Section: Commentssupporting

confidence: 82%

Perceptions of Pain in Women With Headache: A Laboratory Investigation of the Influence of Pain‐Related Anxiety and Fear

et al. 2001

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“…However, the effect of hormonal change on with neurophysiologic studies of trigeminal system of controls has not been studied extensively so far. Although hormonal changes have been reported to have an indirect influence of brainstem nociceptive modulatory system in tension-type headache, we did not found any significant difference between the perimenstrual and postmenstrual follicular period of healthy volunteers with respect to onset latency of TCR [16]. In our study, these results showed that trigeminal excitability did not change significantly during the different menstrual periods of controls.…”

Section: Discussioncontrasting

confidence: 75%

Altered trigeminal system excitability in menstrual migraine patients

Varlibas

Erdemoğlu

2009

J Headache Pain

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To evaluate brainstem excitability in menstrual migraine (MM) patients and compare the electrophysiological parameters of the trigeminocervical reflex (TCR) during the perimenstrual (headache period) and follicular (headache-free) periods with those in healthy controls. Thirty-one patients with MM and 22 volunteer age- and sex-matched healthy women were included in the study. The TCR was studied bilaterally with stimulation of the supraorbital branch of the trigeminal nerve during the perimenstrual period and follicular phase. The electrophysiological parameters of the TCR were compared between MM patients and controls. In controls, there was no statistically significant difference in the mean reflex latencies recorded during the perimenstrual and follicular phases (P > 0.05). In MM patients, the mean reflex latencies recorded during the perimenstrual (headache period) and follicular phase (headache-free) periods were significantly different from each other and from those in controls. The latencies of MM patients during the follicular (headache-free) period were significantly longer than those of controls. Brainstem excitability differed significantly between the perimenstrual (headache period) and follicular phase (headache-free) periods in MM. Furthermore, trigeminal excitability in MM patients was significantly different from that in healthy controls in both phases of the menstrual period.

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“…Suppression of the electromyographic activity in contracting temporalis or masseter muscles does not correlate with pain severity, but rather provides evidence of reduced excitability of brain stem inhibitory neurons that affect the trigeminal motor nucleus, through a mechanism mediated by serotonin from the raphe magnus [38]. Schoenen et al [39] recorded the second exteroceptive silent period (ES 2 ) during menses and at midcycle in women who typically experienced tension-type headache with menses, compared to headache-free controls. Significant decreases were seen in the headache group during menses, in association with reductions in estrogen and progesterone.…”

Section: Estrogen and Tension-type Headachementioning

confidence: 99%

Estrogen and tension-type headache

Marcus

2001

Current Science Inc

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The vast majority of people experience tension-type headache during their lifetimes. Boys experience tension-type headache slightly more than girls during preadolescent years. During adolescence and adult years, tension-type headache occurs more commonly in females. Tension-type headache changes in women occur in relation to gynecologic changes, including menses, pregnancy, and menopause. These changes are related to estrogen fluctuations. Estrogen fluctuations cause changes in neurochemicals important for pain signal transmission, including serotonin, gamma-aminobutyric acid, and enkephalins.

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Exteroceptive Silent Period of Temporalis Muscle in Menstrual Headaches

Cited by 28 publications

References 22 publications

Perceptions of Pain in Women With Headache: A Laboratory Investigation of the Influence of Pain‐Related Anxiety and Fear

Perceptions of Pain in Women With Headache: A Laboratory Investigation of the Influence of Pain‐Related Anxiety and Fear

Altered trigeminal system excitability in menstrual migraine patients

Estrogen and tension-type headache

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