Causes

Hemiplegic migraine, severe aura and the role of genes

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Hand holding a pistol with a DNA helix above it: genetics load the gun, environment pulls the trigger

Do you have migraine with severe aura, such as paralysis, numbness or speech problems? In this blog post we explain the role of astrocytes and the impact of genes.

Astrocytes: the caretakers of your brain

Astrocytes are star-shaped cells in your brain that are crucial for a well-functioning nervous system. Among other things, they take care of:

  • Maintaining the electrolyte balance: this is essential for a stable environment in which your nerve cells can work properly.
  • Clearing away glutamate: this is an excitatory neurotransmitter. An excess of glutamate can lead to overactivation of nerve cells, which plays a leading role in migraine attacks.

When the ATPase gene works less well

The ATPase gene plays a key role in how astrocytes work. When this gene works less efficiently, several problems arise:

  • The electrolyte balance is disrupted.
  • Glutamate is cleared less effectively, which can lead to “cortical spreading depression”: a phenomenon in which the brain first becomes overstimulated and then temporarily shuts down. This may be the basis of the aura you experience.
  • More oxidative stress develops, which contributes to neuroinflammation and the development of migraine.

But what does this mean for you?

A true genetic mutation in this ATPase gene is rare and is often linked to a rare condition: familial hemiplegic migraine. Your life and lifestyle are far more decisive than “good” or “bad” genes.

As we say in Psycho-Neuro-Immunology: “Genetics load the gun, but environment pulls the trigger.” In other words, even if you are predisposed to migraine, your lifestyle choices can strongly influence your risk and the severity of your attacks.

This article is for information only and does not replace medical advice, diagnosis or treatment. Always talk to your doctor before you change your medication or treatment. The Functional Migraine Clinic offers complementary guidance and does not make medical diagnoses.

Barbara Van De Keer, Clinical PNI & Orthomolecular Therapist

About the author

Barbara Van De Keer

Clinical PNI & Orthomolecular Therapist · Founder of the Functional Migraine Clinic

Barbara is a clinical psycho-neuro-immunology (cPNI) and orthomolecular therapist who specialises in migraine, and a former migraine patient herself. She is the author of the book HEADSTRONG and helps people find and address the underlying factors behind their migraine.

More about Barbara →

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