Department of Optometry and Vision Sciences, University of Melbourne, Parkville, Australia.
Invest Ophthalmol Vis Sci. 2010 Nov;51(11):6070-6. doi: 10.1167/iovs.10-5290. Epub 2010 May 26.
It has been proposed that reduced cortical inhibition might be a key feature of migraine. Here the authors compared migraine and control group performance for two visual motion tasks in which performance was considered to reflect center-surround inhibitory processes. These tasks use the observations that healthy young observers require longer stimulus durations to detect the direction of motion of larger higher contrast stimuli, and these stimuli also elicit weaker motion aftereffect (MAE) strength. Both observations are considered to arise from center-surround inhibition.
The authors measured stimulus duration thresholds for detecting the direction of motion of stimuli of different sizes and contrasts, and also examined motion aftereffect strength for similar stimuli presented for longer durations in 20 control participants and 30 people with migraine (15 with aura). The migraine group was assessed between migraines while they were asymptomatic.
For the motion direction task, a significant interaction existed between experimental group and contrast for large stimuli (F((3.96, 190.01)) = 2.95; P < 0.05); however, the interaction was in the opposite direction from that expected from reduced inhibition. Similarly, the MAE data demonstrated a significant interaction between stimulus size and group, but it was in the opposite direction from that predicted (F((1, 48)) = 4.13; P < 0.05).
Consistent with previous studies, the migraine group in this study demonstrated abnormal visual motion processing. However, the data from both the motion direction detection and the motion aftereffect tasks do not support a theory of reduced cortical inhibition.
据提出,皮质抑制减弱可能是偏头痛的一个关键特征。作者在此比较了偏头痛组和对照组在两项视觉运动任务中的表现,这两项任务的性能被认为反映了中心-周围抑制过程。这些任务利用了以下观察结果:健康的年轻观察者需要更长的刺激持续时间来检测较大、对比度较高的刺激的运动方向,并且这些刺激也会引起较弱的运动后效(MAE)强度。这两种观察结果都被认为是由中心-周围抑制引起的。
作者测量了检测不同大小和对比度刺激运动方向的刺激持续时间阈值,还检查了在 20 名对照参与者和 30 名偏头痛患者(15 名有先兆)中长时间呈现相似刺激时的 MAE 强度。偏头痛组在无症状期间进行评估。
对于运动方向任务,大刺激的实验组和对比度之间存在显著的交互作用(F((3.96, 190.01)) = 2.95;P < 0.05);然而,这种相互作用与抑制减弱的预期方向相反。同样,MAE 数据显示刺激大小和组之间存在显著的相互作用,但与预测的方向相反(F((1, 48)) = 4.13;P < 0.05)。
与先前的研究一致,本研究中的偏头痛组表现出异常的视觉运动处理能力。然而,来自运动方向检测和运动后效任务的数据并不支持皮质抑制减弱的理论。