Service de neurologie et d'explorations fonctionnelles neurologiques, hôpital de Rangueil, CHU Toulouse Rangueil, 1, avenue Jean-Poulhès, TSA 50032, 31059 Toulouse cedex 9, France.
Rev Neurol (Paris). 2013 May;169(5):380-9. doi: 10.1016/j.neurol.2013.02.002. Epub 2013 Apr 18.
This review summarizes the history of migraine imaging and key findings of studies on functional neuroimaging in migraine and describes how these data have changed our view of the disorder. Functional neuroimaging during migraine attacks and also interictally has initiated the description of "the migraine brain". These studies have led to the demonstration of cortical spreading depression in migraine with aura, the crucial role for the brainstem during migraine attacks, and cortical hypersensitivity in migraineurs modulated by the trigeminal pathway, explaining sensory sensitization such as photophobia and osmophobia.
这篇综述总结了偏头痛影像学的历史和偏头痛功能神经影像学研究的主要发现,并描述了这些数据如何改变了我们对该疾病的认识。偏头痛发作期间和发作间期的功能神经影像学研究开创了“偏头痛脑”的描述。这些研究表明偏头痛伴先兆存在皮质扩散性抑制,偏头痛发作期间脑干起关键作用,三叉神经通路调节偏头痛患者的皮质敏化,解释了畏光和恐嗅等感觉过敏现象。