13 This suggests that AD in MH is highly significant, to the extent that its varying severity may influence the presentation and diversity of migraine symptoms. 17 , 26 Another important aspect of ANS in migraine pathophysiology is the activation of the trigeminovascular system (TVS), which consists of both somatic and autonomic nerve fibers along with meningeal blood vessels.
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Mechanisms and clinical applications of the valsalva maneuver in migraine relief: A mini-review.
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