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Migraine is associated with high brain 5-HT levels as indexed by 5-HT4 receptor binding.

Marie DeenAnders HougaardHanne Demant HansenClaus SvarerHans EibergSzabolcs LehelGitte M KnudsenMessoud Ashina
Published in: Cephalalgia : an international journal of headache (2018)
The finding of low 5-HT4 receptor binding suggests that cerebral levels of 5-HT are elevated in chronic migraine patients. This is in line with observations made in patients with episodic migraine. Elevated brain 5-HT levels may thus be an inherent trait of the migraine brain rather than a risk factor for conversion from episodic to chronic migraine.
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