Department of Neurology, Glostrup Hospital, Faculty of Health Sciences, University of Copenhagen, Danish Headache Centre, Denmark.
Cephalalgia. 2010 Apr;30(4):457-66. doi: 10.1111/j.1468-2982.2009.01986.x. Epub 2010 Feb 11.
An altered neurovascular coupling has been proposed in migraine. We aimed to investigate neurovascular coupling during a mental task interictally in patients with migraine without aura (MO) by near-infrared spectroscopy (NIRS). Twelve migraineurs and 12 healthy controls were included. Using NIRS, we recorded the magnitude and latency of cortical changes in oxyhaemoglobin (HbO(2)) and deoxyhaemoglobin (Hb) during the colour-word matching Stroop test via 16 channels covering the forehead. We found no differences in the magnitude of responses between migraineurs and healthy subjects in the incongruent Stroop task subtracted by the neutral Stroop task on either side of the frontal cortex for HbO(2) (left, P = 0.984; right, P = 0.406) or Hb (left, P = 0.689; right, P = 0.406) values. No differences in error rate (P = 0.611) or reaction time (P = 0.936) were found between healthy subjects and MO patients for incongruent tasks. The present study suggests that vascular reactivity and oxygen supply during a mental task in patients with MO are intact interictally.
偏头痛患者存在神经血管耦合改变。我们旨在通过近红外光谱(NIRS)研究无先兆偏头痛(MO)患者间歇期精神任务期间的神经血管耦合。纳入 12 名偏头痛患者和 12 名健康对照者。使用 NIRS,我们通过覆盖前额的 16 个通道记录了在颜色-词语匹配 Stroop 测试期间皮质中氧合血红蛋白(HbO2)和脱氧血红蛋白(Hb)的变化幅度和潜伏期。我们发现,在与中性 Stroop 任务相减的不一致 Stroop 任务中,偏头痛患者和健康受试者的额皮质两侧的 HbO2(左侧,P=0.984;右侧,P=0.406)或 Hb(左侧,P=0.689;右侧,P=0.406)值的反应幅度没有差异。健康受试者和 MO 患者在不一致任务中的错误率(P=0.611)或反应时间(P=0.936)无差异。本研究表明,MO 患者在间歇期进行精神任务时血管反应性和氧供应正常。