1 Headache Research unit, University Department of Neurology CHR, Liège, Belgium.
2 Department of Neurology, Reina Fabiola University Clinic, Catholic University of Córdoba, Córdoba, Argentina.
Cephalalgia. 2017 Oct;37(11):1082-1087. doi: 10.1177/0333102416673207. Epub 2016 Nov 12.
Background Lack of habituation of visual evoked potentials (VEP) is a common finding in migraine patients between attacks. Previous studies have suggested an electrophysiological familial aggregation pattern associated with migraine. The aim of this study was to evaluate the influence of a positive familial history of migraine on VEP amplitude and habituation. Methods We recorded six blocks of 100 VEP during continuous pattern-reversal stimulation in 30 patients with migraine between attacks (MO) and in 30 healthy volunteers, of whom 15 had a first-degree relative suffering from migraine (HVm) and 15 had not (HV). Results Both MO and HVm had a significant deficit of VEP habituation and similarly reduced N1-P1 first block amplitudes, compared to HV (habituation slope: MO = 0.033, HVm = 0.021, HV = -0.025, HV vs. MO p = 0.002, HV vs. HVm p = 0.036; mean N1-P1 amplitude in the first block: MO = 9.08 µV, HVm = 9.29 µV, HV = 12.19 µV. HV vs. MO p = 0.041, HV vs. HVm p = 0.076). The first block N1-P1 amplitude was negatively correlated with the habituation slope for both MO (ρ = -.44, p = 0.015) and HVm (ρ = -.56, p = 0.031) while no significant correlation was found in HV (ρ = .17, p = 0.53). There were no differences in VEP latencies between the groups. Conclusions Our study suggests that lack of habituation of visual evoked potentials is probably a genetically determined endophenotypic trait that is associated with both migraine and migraine susceptibility. We hypothesize that genetic diversity of populations could account for some of the discrepancies between electrophysiological studies performed in migraine and for interindividual variations among the subgroups.
背景 偏头痛患者在发作间期常出现视觉诱发电位(VEP)的适应不良。既往研究提示偏头痛存在与遗传相关的电生理家族聚集模式。本研究旨在评估偏头痛家族史阳性对 VEP 振幅和适应不良的影响。
方法 我们对 30 例偏头痛发作间期患者(MO)和 30 例健康志愿者(HV)进行了连续图形翻转刺激下的 6 个 VEP 记录,其中 15 例 HV 有一级亲属偏头痛(HVm),15 例 HV 无偏头痛家族史(HV)。
结果 MO 和 HVm 的 VEP 适应不良均显著减少,且与 HV 相比,第一块的 N1-P1 振幅也显著降低(适应不良斜率:MO=0.033,HVm=0.021,HV=-0.025,HV 与 MO 比较 p=0.002,HV 与 HVm 比较 p=0.036;第一块的平均 N1-P1 振幅:MO=9.08µV,HVm=9.29µV,HV=12.19µV。HV 与 MO 比较 p=0.041,HV 与 HVm 比较 p=0.076)。MO 和 HVm 的第一块 N1-P1 振幅与适应不良斜率呈负相关(MO:ρ=-0.44,p=0.015;HVm:ρ=-0.56,p=0.031),HV 中则无显著相关性(ρ=0.17,p=0.53)。三组间 VEP 潜伏期无差异。
结论 本研究提示 VEP 适应不良可能是一种遗传决定的表型特征,与偏头痛及其易感性均相关。我们推测人群的遗传多样性可能解释了偏头痛的电生理研究之间的一些差异,以及亚组之间的个体间差异。
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