de Tommaso M, Sciruicchio V, Tota P, Megna M, Guido M, Genco S, Puca F
II Dept. of Neurology, University of Bari, Italy.
Funct Neurol. 1997 Mar-Apr;12(2):77-82.
Twenty-six patients suffering from migraine with aura and without aura were examined using somatosensory evoked potentials (SEPs) during the intercritical phase. The mean amplitude of the prerolandic component was significantly reduced in migraine patients with and without aura on the right hemisphere; the ratio between the parietal N20/P25 and the prerolandic P22/N30 was significantly enhanced in migraine groups over the left and the right hemisphere. A significant interside asymmetry of the N30 amplitude was observed in the migraine with aura group in comparison with control subjects. The occurrence of SEP abnormalities was not correlated with the age of the patients, with illness duration or with the frequency of migraine attacks. SEP abnormalities observed in migraine with and without aura may have an underlying primary neural disorder probably based on a chronic dopaminergic dysfunction.
在发作间期,对26例伴有先兆和不伴有先兆的偏头痛患者进行了体感诱发电位(SEP)检查。右侧半球上,伴有和不伴有先兆的偏头痛患者中央前回成分的平均波幅均显著降低;偏头痛组左右半球的顶叶N20/P25与中央前回P22/N30之比均显著升高。与对照组相比,伴有先兆的偏头痛组观察到N30波幅存在明显的双侧不对称。SEP异常的发生与患者年龄、病程或偏头痛发作频率无关。伴有和不伴有先兆的偏头痛中观察到的SEP异常可能存在潜在的原发性神经障碍,可能基于慢性多巴胺能功能障碍。