Evidence map›Paper›PMID 27246325›Full record

ArticleBrain : a journal of neurology2016

Transcranial magnetic stimulation and potential cortical and trigeminothalamic mechanisms in migraine.

Anna P Andreou, Philip R Holland, Simon Akerman, Oliver Summ, Joe Fredrick, Peter J Goadsby

Open access · bronzeAbstract read
In one paragraph

Article in Brain : a journal of neurology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 2 pooled it
11.7field-weighted citation impact, top 1% 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

58 citing papers in PubMed, 2 syntheses or guidelines pooled it, 142 citations in OpenAlex.

  1. Pooled it
  2. Non-invasive neuromodulation in the acute treatment of migraine: a systematic review and meta-analysis of randomized controlled trials.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Pooled it
  3. Neuronavigation based 10 sessions of repetitive transcranial magnetic stimulation therapy in chronic migraine: an exploratory study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
    Trial
  4. Review
  5. Stimulating discussion: neuromodulation for migraine in pregnancy.Current opinion in obstetrics & gynecology · 2026
    Article
  6. Review
  7. Review
  8. Article
  9. Non-Invasive Neuromodulation in the Treatment of Headache.Current neurology and neuroscience reports · 2025
    Review
  10. Article
  11. Review
  12. Review
  13. Evidence-based review and frontiers of migraine therapy.Neurogastroenterology and motility · 2025
    Review
  14. Review
  15. Neuromodulation for Headache Management in Pregnancy.Current pain and headache reports · 2025
    Review
  16. The potential application of electrophysiological indicators in TMS treatment for MOH.Frontiers in pain research (Lausanne, Switzerland) · 2025
    Review
  17. Review
  18. Hallmarks of primary headache: part 1 - migraine.The journal of headache and pain · 2024
    Review
  19. Article
  20. Non-Pharmacological Treatment for Chronic Migraine.Current pain and headache reports · 2023
    Review
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

6 authors at 2 institutions in 2 countries.

Anna P Andreou1 Department of Neurology, University of California, San Francisco, San Francisco CA, USA 2 Wolfson CARD, Institute of Psychology, Psychiatry and Neuroscience, King's College London, London, UK.
Philip R Holland3 Headache Group, Basic and Clinical Neuroscience, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Simon Akerman1 Department of Neurology, University of California, San Francisco, San Francisco CA, USA.
Oliver Summ1 Department of Neurology, University of California, San Francisco, San Francisco CA, USA.
Joe Fredrick4 Neura Inc, Sunnyvale CA, USA.
Peter J Goadsby1 Department of Neurology, University of California, San Francisco, San Francisco CA, USA 3 Headache Group, Basic and Clinical Neuroscience, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK peter.goadsby@kcl.ac.uk.
University of California, San Francisco · USKing's College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A single pulse of transcranial magnetic stimulation has been shown to be effective for the acute treatment of migraine with and without aura. Here we aimed to investigate the potential mechanisms of action of transcranial magnetic stimulation, using a transcortical approach, in preclinical migraine models. We tested the susceptibility of cortical spreading depression, the experimental correlate of migraine aura, and further evaluated the response of spontaneous and evoked trigeminovascular activity of second order trigemontothalamic and third order thalamocortical neurons in rats. Single pulse transcranial magnetic stimulation significantly inhibited both mechanical and chemically-induced cortical spreading depression when administered immediately post-induction in rats, but not when administered preinduction, and when controlled by a sham stimulation. Additionally transcranial magnetic stimulation significantly inhibited the spontaneous and evoked firing rate of third order thalamocortical projection neurons, but not second order neurons in the trigeminocervical complex, suggesting a potential modulatory effect that may underlie its utility in migraine. In gyrencephalic cat cortices, when administered post-cortical spreading depression, transcranial magnetic stimulation blocked the propagation of cortical spreading depression in two of eight animals. These results are the first to demonstrate that cortical spreading depression can be blocked in vivo using single pulse transcranial magnetic stimulation and further highlight a novel thalamocortical modulatory capacity that may explain the efficacy of magnetic stimulation in the treatment of migraine with and without aura.

Indexed as

AnimalsCatsCortical Spreading DepressionDisease Models, AnimalElectric StimulationElectroencephalographyLaser-Doppler FlowmetryMaleMigraine with AuraNeuronsRatsRats, Sprague-DawleyThalamusTranscranial Magnetic StimulationTrigeminal Nerveauracortical spreading depressionmigrainethalamustranscranial magnetic stimulation

Identifiers

PMID27246325
PMCPMC4939700
OpenAlexW2412259182

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.