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经期相关偏头痛塑造了大脑结构相似性网络的整合。

Menstrually-related migraine shapes the structural similarity network integration of brain.

机构信息

Imaging Center, The First Affiliated Hospital, College of Clinical Medicine of Henan University of Science and Technology, Luoyang 471003, China.

Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong SAR, China.

出版信息

Cereb Cortex. 2023 Aug 23;33(17):9867-9876. doi: 10.1093/cercor/bhad250.

Abstract

Menstrually-related migraine (MM) is a primary migraine in women of reproductive age. The underlying neural mechanism of MM was still unclear. In this study, we aimed to reveal the case-control differences in network integration and segregation for the morphometric similarity network of MM. Thirty-six patients with MM and 29 healthy females were recruited and underwent MRI scanning. The morphometric features were extracted in each region to construct the single-subject interareal cortical connection using morphometric similarity. The network topology characteristics, in terms of integration and segregation, were analyzed. Our results revealed that, in the absence of morphology differences, disrupted cortical network integration was found in MM patients compared to controls. The patients with MM showed a decreased global efficiency and increased characteristic path length compared to healthy controls. Regional efficiency analysis revealed the decreased efficiency in the left precentral gyrus and bilateral superior temporal gyrus contributed to the decreased network integration. The increased nodal degree centrality in the right pars triangularis was positively associated with the attack frequency in MM. Our results suggested MM would reorganize the morphology in the pain-related brain regions and reduce the parallel information processing capacity of the brain.

摘要

与月经相关的偏头痛(MM)是育龄期女性的一种原发性偏头痛。MM 的潜在神经机制尚不清楚。在这项研究中,我们旨在揭示 MM 的形态相似性网络的网络整合和分离的病例对照差异。招募了 36 名 MM 患者和 29 名健康女性,并进行了 MRI 扫描。在每个区域提取形态特征,使用形态相似性构建单个体间皮质连接的单主体间皮质连接。分析了网络拓扑特征,包括整合和分离。我们的结果表明,在没有形态差异的情况下,与对照组相比,MM 患者的皮质网络整合被破坏。与健康对照组相比,MM 患者的全局效率降低,特征路径长度增加。区域效率分析显示,左侧中央前回和双侧颞上回的效率降低导致网络整合降低。右侧三角部的节点度中心度增加与 MM 的发作频率呈正相关。我们的结果表明,MM 会重组与疼痛相关的大脑区域的形态,并降低大脑的平行信息处理能力。

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