Things I Teach WrongThings I Teach Wrong

Migraine: treating the alarm, not the fire

What boards teach

Migraine is a neurovascular disorder treated by blocking CGRP or constricting cranial vessels with triptans — both reduce attack frequency and abort pain.

What evidence says

CGRP and pain are downstream signals of a neuronal energy deficit. Blocking them silences the alarm without addressing the ATP shortfall driving cortical spreading depression.

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