Zenodo
Migraine as Paroxysmal Sensory Decoherence: Cortical Spreading Depression, Thalamo-Cortical Gain Failure
Par Ari Ariel Marom.
Contenu en anglais
Résumé
Migraine ranks among the most prevalent and disabling neurological disorders worldwide. It is classically defined by recurrent, stereotyped attacks of moderate-to-severe unilateral head pain accompanied by sensory hypersensitivities (photophobia, phonophobia, osmophobia, allodynia) and, in a subset of patients, a preceding aura of transient neurological disturbance. This paper proposes a formal reconceptualization of migraine within the Informational Nosology framework as "Regime B" — Paroxysmal Sensory Decoherence — a state in which the brain's precision-weighting and sensory-gating architecture undergoes a threshold-triggered collapse, contrasted with the state-space collapse dynamics characteristic of Epilepsy ("Regime A"). The framework integrates cortical spreading depression, thalamo-cortical gain failure, and trigeminovascular system activation (including CGRP signaling) into a unified dynamical-systems formalization of the migraine attack's onset, propagation, and resolution. By treating sensory constraint failure as an organizational phenomenon rather than a purely vascular or nociceptive event, the framework offers a coherent systems-level interpretation of the attack's stereotyped architecture, its threshold behavior, and its protracted recovery dynamics. Part of the Informational Monism / Informational Nosology series (Portal IV), developed within a unified mathematical program for neurological and psychiatric regime classification. Keywords: Migraine, Paroxysmal Sensory Decoherence, Cortical Spreading Depression, CGRP, Neurology; Neuroscience; Biophysics; Informational Nosology



