有先兆和无先兆偏头痛的功能连接性与认知障碍

Functional connectivity and cognitive impairment in migraine with and without aura.

作者信息

Lo Buono Viviana, Bonanno Lilla, Corallo Francesco, Pisani Laura Rosa, Lo Presti Riccardo, Grugno Rosario, Di Lorenzo Giuseppe, Bramanti Placido, Marino Silvia

机构信息

IRCCS Centro Neurolesi "Bonino-Pulejo", S.S. 113 Via Palermo, C.da Casazza, 98124, Messina, Italy.

Department of Biomedical and Dental Sciences and Morphological and Functional Imaging, University of Messina, Messina, Italy.

出版信息

J Headache Pain. 2017 Dec;18(1):72. doi: 10.1186/s10194-017-0782-6. Epub 2017 Jul 20.

Abstract

BACKGROUND

Several fMRI studies in migraine assessed resting state functional connectivity in different networks suggesting that this neurological condition was associated with brain functional alteration. The aim of present study was to explore the association between cognitive functions and cerebral functional connectivity, in default mode network, in migraine patients without and with aura, during interictal episodic attack.

METHODS

Twenty-eight migraine patients (14 without and 14 with aura) and 14 matched normal controls, were consecutively recruited. A battery of standardized neuropsychological test was administered to evaluate cognitive functions and all subjects underwent a resting state with high field fMRI examination.

RESULTS

Migraine patients did not show abnormalities in neuropsychological evaluation, while, we found a specific alteration in cortical network, if we compared migraine with and without aura. We observed, in migraine with aura, an increased connectivity in left angular gyrus, left supramarginal gyrus, right precentral gyrus, right postcentral gyrus, right insular cortex.

CONCLUSION

Our findings showed in migraine patients an alteration in functional connectivity architecture. We think that our results could be useful to better understand migraine pathogenesis.

摘要

背景

多项针对偏头痛的功能磁共振成像(fMRI)研究评估了不同网络中的静息态功能连接,提示这种神经疾病与脑功能改变有关。本研究的目的是探讨偏头痛发作间期,无先兆和有先兆偏头痛患者在默认模式网络中认知功能与脑功能连接之间的关联。

方法

连续招募了28名偏头痛患者(14名无先兆和14名有先兆)和14名匹配的正常对照。进行了一系列标准化神经心理学测试以评估认知功能,所有受试者均接受了高场fMRI静息态检查。

结果

偏头痛患者在神经心理学评估中未显示异常,然而,当我们比较有先兆和无先兆偏头痛时,发现皮质网络存在特定改变。我们观察到,有先兆偏头痛患者左侧角回、左侧缘上回、右侧中央前回、右侧中央后回、右侧岛叶皮质的连接性增加。

结论

我们的研究结果显示偏头痛患者的功能连接结构存在改变。我们认为我们的结果可能有助于更好地理解偏头痛的发病机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a23/5519515/6de5e10adbf1/10194_2017_782_Fig1_HTML.jpg

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