Evidence map›Paper›PMID 22367627›Full record

ArticleThe journal of headache and pain2012

Acetazolamide for the prophylaxis of migraine in CADASIL: a preliminary experience.

Ida Donnini, Serena Nannucci, Raffaella Valenti, Francesca Pescini, Silvia Bianchi, Domenico Inzitari, Leonardo Pantoni

Open access · goldAbstract read
In one paragraph

Article in The journal of headache and pain, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.1field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 34 citations in OpenAlex.

  1. Headache Attributed to Genetic Vasculopathies.Current pain and headache reports · 2026
    Review
  2. Article
  3. Review
  4. Review
  5. Review
  6. CADASIL: Treatment and Management Options.Current treatment options in neurology · 2017
    Review
  7. Recognizing CADASIL: a Secondary Cause of Migraine with Aura.Current pain and headache reports · 2017
    Review
  8. Review
  9. Article
  10. Migraine and neurogenetic disorders.Current pain and headache reports · 2013
    Review
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Ida DonniniDepartment of Neurological and Psychiatric Sciences, University of Florence, Largo Brambilla 3, Florence, Italy.
Serena Nannucci
Raffaella Valenti
Francesca Pescini
Silvia Bianchi
Domenico Inzitari
Leonardo Pantoni
University of Florence · ITUniversity of Siena · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is an inherited microangiopathy caused by NOTCH3 mutations. It is characterized by migraine, with or without aura, ischemic events, psychiatric and cognitive disturbances. There is no approved treatment for migraine prophylaxis in CADASIL, but acetazolamide has been anecdotally reported to be effective. We retrospectively reviewed our database of patients with a genetic diagnosis of CADASIL to identify how many of them were treated with acetazolamide for the prophylaxis of migraine. The efficacy and the tolerability of this treatment were checked looking at the clinic reports. Acetazolamide was prescribed in seven patients; the mean duration of treatment was 6 months, and the daily dose ranged from 125 to 500 mg. Three patients had a total and sustained remission, while in two patients a reduction in attacks and an improvement of the headache intensity were recorded. In one of these, acetazolamide was deliberately taken only during the migraine attack and the beneficial effect started 1 h after administration. In two patients, the drug did not produce any beneficial effect. Mild side effects were recorded in two patients. Our preliminary experience expands previous reports and confirms the possible efficacy of acetazolamide in CADASIL migraine. Based on these data, a randomized controlled trial seems worthy to be carried out to test the efficacy and safety of this drug.

Indexed as

AcetazolamideAdultAgedAnticonvulsantsCADASILFemaleHumansMaleMiddle AgedMigraine DisordersRetrospective StudiesAcetazolamideAnticonvulsants

Identifiers

PMID22367627
PMCPMC3356473
OpenAlexW2009653542

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.