HeadWise HeadWise: Volume 3, Issue 4 | Page 16

Nasim Maleki, PhD Department of Anesthesia, Boston Children’s Hospital and Harvard Medical School Boston, MA Migraine is considered by the World Health Organization (WHO) to be one of the top 20 causes of disability worldwide, impairing the occupational, academic, social, leisure, and family life of migraine patients. Migraine is a common neurological disorder, with the brain at the center of it. Multiple studies have already confirmed that there are differences between ‘migraine brain’ and healthy brain both in structure as well as function. For example, a migraine brain is more excitable and active even during migraine-free periods between the attacks with less ability to regulate and adjust itself compared to a healthy brain. One of the most interesting characteristics of the migraine disease is, similar to a number of other chronic pain disorders, that it is about 2 to 3 times more prevalent in women than in men. We still poorly understand the preponderance in women, and do not understand the mechanisms underlying 16 HeadW ise™ | Volume 3, Issue 4 • 141031_LOT A_NHFHeadWise–February.indd 16 this difference. Specifically, given the difference in the disease prevalence, are there variations between the brains of women and men who suffer fr