Riboflavin and migraine: the bridge over troubled mitochondria

被引:42
作者
Colombo, Bruno [1 ]
Saraceno, Lorenzo [1 ]
Comi, Giancarlo [1 ]
机构
[1] Univ Vita Salute, Hosp San Raffaele, Dept Neurol, Headache Unit, I-20132 Milan, Italy
关键词
Migraine; Mitochondria; Riboflavin; HIGH-DOSE RIBOFLAVIN; CONTROLLED-TRIAL; DOUBLE-BLIND; PROPHYLAXIS; HEADACHE; SPECTROSCOPY; DEFICIENCY; CHILDREN;
D O I
10.1007/s10072-014-1755-z
中图分类号
R74 [神经病学与精神病学];
学科分类号
100204 [神经病学];
摘要
Brain energy metabolism has been found to be disturbed in migraine. A mitochondrial defect may reduce the threshold for migraine attacks both increasing neuronal excitability and leading migrainous brain to a hyper-responsiveness to triggering stimuli. Riboflavin, a major co-factor in oxidative metabolism, may overcome this impairment. RCT studies in adult confirmed that riboflavin is safe and probably effective in migraine prophylaxis, based on level B evidence. Improving brain energy metabolism may reduce the susceptibility to migraine when brain energy demand increases due to both physiological and biopsychological factors.
引用
收藏
页码:S141 / S144
页数:4
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