Evidence map›Paper›PMID 33958992›Full record

ReviewFrontiers in human neuroscience2021

Pathophysiological Bases of Comorbidity in Migraine.

Claudia Altamura, Ilenia Corbelli, Marina de Tommaso, Cherubino Di Lorenzo, Giorgio Di Lorenzo, Antonio Di Renzo, Massimo Filippi, Tommaso B Jannini, Roberta Messina, Pasquale Parisi and 10 more

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in human neuroscience, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 2 pooled it
11.0field-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

67 citing papers in PubMed, 2 syntheses or guidelines pooled it, 100 citations in OpenAlex.

  1. Pooled it
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  3. The second interim analysis of Italian participants enrolled in the real-world, Pan-European, prospective, observational, Phase 4 PEARL study of fremanezumab effectiveness.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Trial
  4. Article
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  6. Building bridges in migraine management: consensus pathways on best practices across primary and specialist care in Italy.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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7 more citing papers are in PubMed but not listed here.

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

20 authors at 14 institutions in 2 countries.

Claudia AltamuraHeadache and Neurosonology Unit, Neurology, Campus Bio-Medico University Hospital, Rome, Italy.
Ilenia CorbelliClinica Neurologica, Dipartimento di Medicina, Ospedale S.M. Misericordia, Università degli Studi di Perugia, Perugia, Italy.
Marina de TommasoApplied Neurophysiology and Pain Unit, SMBNOS Department, Bari Aldo Moro University, Policlinico General Hospital, Bari, Italy.
Cherubino Di LorenzoDepartment of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome Polo Pontino, Latina, Italy.
Giorgio Di LorenzoLaboratory of Psychophysiology and Cognitive Neuroscience, Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.
Antonio Di RenzoIRCCS-Fondazione Bietti, Rome, Italy.
Massimo FilippiNeuroimaging Research Unit, Division of Neuroscience, Institute of Experimental Neurology, Milan, Italy.
Tommaso B JanniniLaboratory of Psychophysiology and Cognitive Neuroscience, Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.
Roberta MessinaNeurology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Pasquale ParisiChild Neurology, Department of Neuroscience, Mental Health and Sense Organs (NESMOS), Faculty of Medicine & Psychology, c/o Sant'Andrea Hospital, Sapienza University, Rome, Italy.
Vincenzo ParisiIRCCS-Fondazione Bietti, Rome, Italy.
Francesco PierelliDepartment of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome Polo Pontino, Latina, Italy.
Innocenzo RaineroNeurology I, Department of Neuroscience "Rita Levi Montalcini," University of Torino, Torino, Italy.
Umberto RaucciDepartment of Emergency, Acceptance and General Pediatrics, Bambino Gesù Children's Hospital, Scientific Institute for Research, Hospitalization and Healthcare (IRCCS), Rome, Italy.
Elisa RubinoNeurology I, Department of Neuroscience "Rita Levi Montalcini," University of Torino, Torino, Italy.
Paola SarchielliClinica Neurologica, Dipartimento di Medicina, Ospedale S.M. Misericordia, Università degli Studi di Perugia, Perugia, Italy.
Linxin LiNuffield Department of Clinical Neurosciences, Centre for Prevention of Stroke and Dementia, John Radcliffe Hospital, University of Oxford, Oxford, United Kingdom.
Fabrizio VernieriHeadache and Neurosonology Unit, Neurology, Campus Bio-Medico University Hospital, Rome, Italy.
Catello VollonoDepartment of Neurology, Fondazione Policlinico Universitario "Agostino Gemelli" IRCCS, Catholic University, Rome, Italy.
Gianluca CoppolaDepartment of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome Polo Pontino, Latina, Italy.
Istituti di Ricovero e Cura a Carattere Scientifico · ITIstituto di Ricovero e Cura a Carattere Scientifico San RaffaeleSapienza University of Rome · ITUniversity of Perugia · ITUniversity of Rome Tor Vergata · ITUniversity of Turin · ITAgostino Gemelli University Polyclinic · ITAzienda Ospedaliera Sant'Andrea · ITBambino Gesù Children's Hospital · ITCampus Bio Medico University Hospital · ITIstituto Neurologico Mediterraneo · ITJohn Radcliffe Hospital · GBUniversità Campus Bio-Medico · ITUniversity of Bari Aldo Moro · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite that it is commonly accepted that migraine is a disorder of the nervous system with a prominent genetic basis, it is comorbid with a plethora of medical conditions. Several studies have found bidirectional comorbidity between migraine and different disorders including neurological, psychiatric, cardio- and cerebrovascular, gastrointestinal, metaboloendocrine, and immunological conditions. Each of these has its own genetic load and shares some common characteristics with migraine. The bidirectional mechanisms that are likely to underlie this extensive comorbidity between migraine and other diseases are manifold. Comorbid pathologies can induce and promote thalamocortical network dysexcitability, multi-organ transient or persistent pro-inflammatory state, and disproportionate energetic needs in a variable combination, which in turn may be causative mechanisms of the activation of an ample defensive system with includes the trigeminovascular system in conjunction with the neuroendocrine hypothalamic system. This strategy is designed to maintain brain homeostasis by regulating homeostatic needs, such as normal subcortico-cortical excitability, energy balance, osmoregulation, and emotional response. In this light, the treatment of migraine should always involves a multidisciplinary approach, aimed at identifying and, if necessary, eliminating possible risk and comorbidity factors.

Indexed as

CNS disordersenergetic balancemigraine thresholdthalamocortical network dysexcitabilitytrigeminovascular system

Identifiers

PMID33958992
PMCPMC8093831
OpenAlexW3156179906

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.