The Journal of Headache and Pain

"European Headache Federation" and of "Lifting The Burden - The Global Campaign against Headache"

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Open Access

CACNA1A gene mutations in familial hemiplegic migraine

  • Arn M.J.M. van den Maagdenberg,
  • Joerg Striessnig,
  • Michel D. Ferrari and
  • Rune R. Frants
The Journal of Headache and PainOfficial Journal of the Italian Society for the Study of Headaches1:0001S121.10194


Familial hemiplegic migraine (FHM) is an autosomal dominant subtpye of migraine with aura. A few years ago, the gene linked to FHM was identified. CACNA1A encodes a voltage-activated, pore-forming α1A subunit of the P/Q-type calcium channel. At present, an increasing number of mutations have been identified in this gene in patients with FHM. Genotype-phenotype comparisons have become feasible only recently. The in vitro functional consequences on channel function of the first mutations have been deciphered. This is the moment to evaluate these recent discoveries and see how they can help us understant the pathophysiology of FHM and the common forms of migraine.

Key words FHMMigraineCalcium channelCACNA1A gene