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偏头痛阶段对激光诱发电位的习惯化:一项双盲纵向研究。

Habituation of laser-evoked potentials by migraine phase: a blinded longitudinal study.

作者信息

Uglem Martin, Omland Petter Moe, Stjern Marit, Gravdahl Gøril Bruvik, Sand Trond

机构信息

Department of Neuromedicine and Movement Science, NTNU, Norwegian University of Science and Technology, Trondheim, Norway.

NTNU, Faculty of Medicine and Health Sciences, P.B. 8905, N-7491, Trondheim, Norway.

出版信息

J Headache Pain. 2017 Oct 2;18(1):100. doi: 10.1186/s10194-017-0810-6.


DOI:10.1186/s10194-017-0810-6
PMID:28971336
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5624861/
Abstract

BACKGROUND: Migraineurs seem to have cyclic variations in cortical excitability in several neurophysiological modalities. Laser-evoked potentials (LEP) are of particular interest in migraine because LEP specifically targets pain pathways, and studies have reported different LEP-changes both between and during headaches. Our primary aim was to explore potential cyclic variations in LEP amplitude and habituation in more detail with a blinded longitudinal study design. METHODS: We compared N1 and N2P2 amplitudes and habituation between two blocks of laser stimulations to the dorsal hand, obtained from 49 migraineurs with four sessions each. We used migraine diaries to categorize sessions as interictal (> one day from previous and to next attack), preictal (< one day before the attack), ictal or postictal (< one day after the attack). Also, we compared 29 interictal recordings from the first session to 30 controls. RESULTS: N1 and N2P2 amplitudes and habituation did not differ between preictal, interictal and postictal phase sessions, except for a post hoc contrast that showed deficient ictal habituation of N1. Habituation is present and similar in migraineurs in the interictal phase and controls. CONCLUSIONS: Hand-evoked LEP amplitudes and habituation were mainly invariable between migraine phases, but this matter needs further study. Because hand-evoked LEP-habituation was similar in migraineurs and controls, the present findings contradict several previous LEP studies. Pain-evoked cerebral responses are normal and show normal habituation in migraine.

摘要

背景:偏头痛患者在几种神经生理模式下的皮质兴奋性似乎存在周期性变化。激光诱发电位(LEP)在偏头痛研究中特别受关注,因为LEP专门针对疼痛通路,并且研究报告了头痛发作期间和发作之间LEP的不同变化。我们的主要目的是通过一项盲法纵向研究设计更详细地探索LEP振幅和习惯化的潜在周期性变化。 方法:我们比较了从49名偏头痛患者中获得的、每人均有四个疗程的、对手背进行的两个激光刺激块之间的N1和N2P2振幅及习惯化情况。我们使用偏头痛日记将会话分类为发作间期(距上次发作和下次发作超过一天)、发作前期(发作前一天内)、发作期或发作后期(发作后一天内)。此外,我们将第一次疗程的29次发作间期记录与30名对照者的记录进行了比较。 结果:除事后对比显示N1在发作期的习惯化不足外,发作前期、发作间期和发作后期各疗程之间的N1和N2P2振幅及习惯化并无差异。发作间期的偏头痛患者和对照者均存在习惯化且情况相似。 结论:手部诱发的LEP振幅和习惯化在偏头痛各阶段之间主要无变化,但这一问题仍需进一步研究。由于偏头痛患者和对照者的手部诱发LEP习惯化情况相似,目前的研究结果与之前的多项LEP研究相矛盾。疼痛诱发的大脑反应在偏头痛中是正常的,且显示出正常的习惯化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfea/5624861/a3db7d1c65eb/10194_2017_810_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfea/5624861/ddb95b48c480/10194_2017_810_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfea/5624861/40470a1ddfa7/10194_2017_810_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfea/5624861/91debdad33ba/10194_2017_810_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfea/5624861/a3db7d1c65eb/10194_2017_810_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfea/5624861/ddb95b48c480/10194_2017_810_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfea/5624861/40470a1ddfa7/10194_2017_810_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfea/5624861/91debdad33ba/10194_2017_810_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfea/5624861/a3db7d1c65eb/10194_2017_810_Fig4_HTML.jpg

相似文献

[1]
Habituation of laser-evoked potentials by migraine phase: a blinded longitudinal study.

J Headache Pain. 2017-10-2

[2]
Visual evoked potentials in interictal migraine: no confirmation of abnormal habituation.

Headache. 2013-1-8

[3]
Does pain sensitivity change by migraine phase? A blinded longitudinal study.

Cephalalgia. 2016-11-15

[4]
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Cephalalgia. 2016-4

[5]
Habituation of single CO2 laser-evoked responses during interictal phase of migraine.

J Headache Pain. 2005-9

[6]
Reduced laser-evoked potential habituation detects abnormal central pain processing in painful radiculopathy patients.

Eur J Pain. 2017-5

[7]
Reduced habituation to experimental pain in migraine patients: a CO(2) laser evoked potential study.

Pain. 2003-9

[8]
Lack of habituation of nociceptive evoked responses and pain sensitivity during migraine attack.

Clin Neurophysiol. 2005-6

[9]
Reliability and repeatability of testing visual evoked potential habituation in migraine: A blinded case-control study.

Cephalalgia. 2017-4

[10]
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Clin Neurophysiol. 2016-1

引用本文的文献

[1]
EEG Changes in Migraine-Can EEG Help to Monitor Attack Susceptibility?

Brain Sci. 2024-5-17

[2]
Habituation to Pain in Patients with Chronic Pain: Clinical Implications and Future Directions.

J Clin Med. 2023-6-27

[3]
Cortical pain processing in migraine.

J Neural Transm (Vienna). 2020-4

[4]
Current understanding of cortical structure and function in migraine.

Cephalalgia. 2019-3-28

本文引用的文献

[1]
Age-related changes in laser-evoked potentials following trigeminal and hand stimulation in healthy subjects.

Eur J Pain. 2017-7

[2]
Reduced laser-evoked potential habituation detects abnormal central pain processing in painful radiculopathy patients.

Eur J Pain. 2017-5

[3]
Does pain sensitivity change by migraine phase? A blinded longitudinal study.

Cephalalgia. 2016-11-15

[4]
Abnormal nociceptive processing occurs centrally and not peripherally in pain-free Parkinson disease patients: A study with laser-evoked potentials.

Parkinsonism Relat Disord. 2017-1

[5]
Familial history of migraine influences habituation of visual evoked potentials.

Cephalalgia. 2016-11-12

[6]
Functional Neuroimaging in Migraine: Chances and Challenges.

Headache. 2016-9-22

[7]
Laser and somatosensory evoked potentials in amyotrophic lateral sclerosis.

Clin Neurophysiol. 2016-10

[8]
Increased Amplitude of Thalamocortical Low-Frequency Oscillations in Patients with Migraine.

J Neurosci. 2016-7-27

[9]
Effects of left primary motor and dorsolateral prefrontal cortex transcranial direct current stimulation on laser-evoked potentials in migraine patients and normal subjects.

Neurosci Lett. 2016-7-28

[10]
The migraine generator revisited: continuous scanning of the migraine cycle over 30 days and three spontaneous attacks.

Brain. 2016-5-5

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