Department of Neurology, Alfred Hospital, Commercial Road, Melbourne, VIC, 3004, Australia.
Department of Neuroscience, Central Clinical School, Monash University, 99 Commercial Road, Melbourne, VIC, 3004, Australia.
Neurol Sci. 2024 Sep;45(9):4445-4449. doi: 10.1007/s10072-024-07520-w. Epub 2024 Apr 12.
INTRODUCTION: Cognitive symptoms are reported commonly throughout all phases of a migraine; however, there is a paucity of objective cognitive profiling. Previous studies have been limited by practice effect, and variable populations. METHODS: Participants completed 1 month of daily testing with a computerised cognitive battery involving a simple reaction (SRT), choice reaction (CRT) and a working memory test (WM). Results were correlated with their diary to identify interictal scores, and scores during each phase of a migraine, and non-migraine headache days. RESULTS: A total of 16 patients with episodic migraine participated. During the headache phase of a migraine, responses to SRT, CRT and WM tasks were significantly slower and less accurate than interictally. During the postdrome, WM task performance was slower and less accurate. Non-migraine headache days were not associated with significant change. CONCLUSION: The headache and postdromal phase of a migraine day was associated with objective evidence of cognitive dysfunction in patients with episodic migraine.
简介:偏头痛各阶段常出现认知症状,但客观认知分析却很少见。以往的研究受到练习效应和人群差异的限制。 方法:参与者使用计算机认知测试系统进行为期 1 个月的日常测试,包括简单反应(SRT)、选择反应(CRT)和工作记忆测试(WM)。结果与日记相关联,以确定发作间期的分数,以及偏头痛发作期间和非偏头痛头痛期间的分数。 结果:共有 16 例发作性偏头痛患者参与。在偏头痛发作期间,SRT、CRT 和 WM 任务的反应速度明显较慢,准确性较低,与发作间期相比。在后循环期,WM 任务的表现较慢且准确性较低。非偏头痛头痛日无明显变化。 结论:偏头痛发作期和后循环期与发作性偏头痛患者的认知功能障碍有客观证据相关。
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