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无先兆偏头痛患者半侧小脑变化的容积评估

Volumetric evaluation of hemicerebellar changes in migraine patients without aura.

作者信息

Gocmen-Mas N, Kusbeci O Y, Karabekir H S, Ertekin T, Yucel A, Yazici A C

机构信息

Department of Anatomy, Kocatepe University Faculty of Medicine, Turkey.

出版信息

Folia Morphol (Warsz). 2011 Nov;70(4):235-9.

Abstract

Brain balance changes have been recognised in migraine, but cerebellar function between or during attacks has been assessed only in a few studies. Previous studies have indicated that migraine affects cerebellar function. In the present study we aimed to evaluate the hemicerebellar volume changes of patients with migraine without aura (MWoA). Volumetric changes of cerebellar hemispheres were evaluated in terms of asymmetry using stereological methods on magnetic resonance images (MRI) retrospectively. Nineteen patients with MWoA and 18 age- and gender-matched control subjects were included in the study. MRIs were analysed by using the point-counting approach of stereological methods by Cavalier's principle. There was no statistically significant cerebellar atrophy or hemicerebellar asymmetry between the MWoA and control subjects. There was no cerebellar atrophy or asymmetry between the MWoA and age-matched control group. The stereological evaluation of cerebellar asymmetry and atrophy in humans is important for both clinicians and anatomists. The technique is simple, inexpensive, and reliable.

摘要

偏头痛患者的脑平衡变化已得到公认,但仅有少数研究评估了发作间期或发作期间的小脑功能。既往研究表明偏头痛会影响小脑功能。在本研究中,我们旨在评估无先兆偏头痛(MWoA)患者的半侧小脑体积变化。回顾性地利用磁共振成像(MRI)上的体视学方法,从不对称性方面评估小脑半球的体积变化。本研究纳入了19例MWoA患者以及18名年龄和性别匹配的对照者。通过基于卡瓦列里原理的体视学方法的点计数法对MRI进行分析。MWoA患者与对照者之间不存在统计学上显著的小脑萎缩或半侧小脑不对称。MWoA患者与年龄匹配的对照组之间不存在小脑萎缩或不对称。对人类小脑不对称性和萎缩进行体视学评估对临床医生和解剖学家而言均具有重要意义。该技术简单、廉价且可靠。

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