{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T16:25:11Z","timestamp":1762100711629},"reference-count":29,"publisher":"FapUNIFESP (SciELO)","issue":"3a","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Neuro-Psiquiatr."],"published-print":{"date-parts":[[2007,9]]},"abstract":"<jats:p>Activation of the trigemino-cervical system constitutes one of the first steps in the genesis of migraine. The objective of this study was to confirm the presence of trigemino-cervical convergence mechanisms and to establish whether such mechanisms may also be of inhibitory origin. We describe a case of a 39-years-old woman suffering from episodic migraine who showed a significant improvement in her frontal headache during migraine attacks if the greater occipital nerve territory was massaged after the appearance of static mechanical allodynia (cortical sensitization). We review trigemino-cervical convergence and diffuse nociceptive inhibitory control (DNIC) mechanisms and suggest that the convergence mechanisms are not only excitatory but also inhibitory.<\/jats:p>","DOI":"10.1590\/s0004-282x2007000400010","type":"journal-article","created":{"date-parts":[[2007,9,28]],"date-time":"2007-09-28T03:05:21Z","timestamp":1190948721000},"page":"599-604","source":"Crossref","is-referenced-by-count":31,"title":["Massaging over the greater occipital nerve reduces the intensity of migraine attacks: evidence for inhibitory trigemino-cervical convergence mechanisms"],"prefix":"10.1590","volume":"65","author":[{"given":"Elcio Juliato","family":"Piovesan","sequence":"first","affiliation":[{"name":"Federal University of Paran\u00e1; UFPR"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabrizio","family":"Di Stani","sequence":"additional","affiliation":[{"name":"University of Rome La Sapienza,  Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro Andr\u00e9","family":"Kowacs","sequence":"additional","affiliation":[{"name":"Federal University of Paran\u00e1"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rog\u00e9rio Andrade","family":"Mulinari","sequence":"additional","affiliation":[{"name":"UFPR"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victor Hugo","family":"Radunz","sequence":"additional","affiliation":[{"name":"UFPR"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Utiumi","sequence":"additional","affiliation":[{"name":"UFPR"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eder B","family":"Muranka","sequence":"additional","affiliation":[{"name":"UFPR"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario Luiz","family":"Giublin","sequence":"additional","affiliation":[{"name":"Federal University of Paran\u00e1"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lineu C\u00e9sar","family":"Werneck","sequence":"additional","affiliation":[{"name":"Federal University of Paran\u00e1; UFPR"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","first-page":"223","article-title":"Pain suppression by peripheral nerve stimulation: chronic effects of implanted devices","volume":"40","author":"Picaza JA","year":"1977","journal-title":"Appl Neurophysiol","ISSN":"http:\/\/id.crossref.org\/issn\/0302-2773","issn-type":"print"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1046\/j.1525-1403.1999.00217.x","article-title":"Peripheral neurostimulation for the control of intractable occipital neuralgia","volume":"2","author":"Weiner 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