Evidence map›Paper›PMID 41295862›Full record

ArticleToxins2025

OnabotulinumtoxinA to Prevent Chronic Migraine with Comorbid Bruxism: Real-World Data from the GRASP Study Group.

Andreas A Argyriou, Emmanouil V Dermitzakis, Maria Chondrogianni, Aikaterini Foska, Dimitrios Rikos, Georgia Xiromerisiou, Panagiotis Soldatos, Pantelis Litsardopoulos, Michail Vikelis, Greek Research Alliance for the Study of Headache and Pain (GRASP) Study Group

Abstract read
In one paragraph

Article in Toxins, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

10 authors.

Andreas A ArgyriouHeadache Outpatient Clinic, Department of Neurology, Agios Andreas State General Hospital of Patras, 26335 Patras, Greece.ORCID 0000-0003-2131-7114
Emmanouil V DermitzakisGeneral Clinic Thessaloniki, 54645 Thessaloniki, Greece.ORCID 0000-0001-9275-0076
Maria ChondrogianniSecond Department of Neurology, National and Kapodistrian University of Athens, School of Medicine, 'Attikon' University Hospital, 12462 Athens, Greece.ORCID 0000-0002-8315-5846
Aikaterini FoskaSecond Department of Neurology, National and Kapodistrian University of Athens, School of Medicine, 'Attikon' University Hospital, 12462 Athens, Greece.
Dimitrios Rikos404 Military Hospital, 41222 Larisa, Greece.ORCID 0000-0003-2346-5057
Georgia XiromerisiouNeurology Institute, Mindful Mind, 55133 Thessaloniki, Greece.
Panagiotis SoldatosIndependent Researcher, 24100 Kalamata, Greece.
Pantelis LitsardopoulosHeadache Outpatient Clinic, Department of Neurology, Agios Andreas State General Hospital of Patras, 26335 Patras, Greece.
Michail VikelisGlyfada Headache Clinic, 16675 Athens, Greece.ORCID 0000-0002-2715-7898
Greek Research Alliance for the Study of Headache and Pain (GRASP) Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study, designed by the Greek Research Alliance for the Study of Headache and Pain (GRASP), sought to prospectively examine whether the treatment with two consecutive OnabotulinumtoxinA (BoNTA) cycles might improve the frequency and severity of chronic migraine (CM) with comorbid bruxism. We also explored whether the potential BoNTA-related alleviation of bruxism can directly influence the improvements in migraine efficacy outcomes.

methodsA total of 58 CM patients with comorbid bruxism at baseline, attaining two consecutive (quarterly given) BoNTA cycles, were studied. The changes in bruxism-related pain were assessed with the 0-10 numeric scale PI-NRS. Bruxism was clinically diagnosed using the self-report Bruxscreen-Q questionnaire. Any phenotypic changes in bruxism, according to Bruxscreen-Q, from baseline (T0) to the last efficacy evaluation follow-up (T1), were analyzed and then compared. Migraine-related efficacy and disability outcomes, mostly mean headache days (MHD), were also compared between T0 and T1.

resultsBoNTA exerted significant improvements in bruxism-related pain, with PI-NRS median scores being significantly reduced from 7 at T0 to 3 at T1 (

conclusionsBoNTA exerts dual beneficial effects towards both the reduction of migraine frequency and the alleviation of bruxism-related pain and disability. Both of these effects seem closely interrelated in our study.

Indexed as

Botulinum Toxins, Type ABruxismMigraine DisordersAdultChronic DiseaseFemaleHumansMaleMiddle AgedProspective StudiesTreatment OutcomeBotulinum Toxins, Type Aonabotulinum toxin ABoNTAbruxismchronic migrainecomorbiditiesOnabotulinumtoxinA

Identifiers

PMID41295862
PMCPMC12655932

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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.