White matter hyperintensity in different migraine subtypes

Abstract The diagnostic value of white matter hyperintensities (WMH) in different types of migraineare unknown. To evaluate the WMH pattern of different subtypes in migraine patients with no vascular risk factors. 92 migraine patients (73 females, mean age 34.6 ± 8.9; 61 episodic migraine, 31 chroni...

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Autores principales: L. A. Dobrynina, A. D. Suslina, M. V. Gubanova, A. V. Belopasova, A. N. Sergeeva, S. Evers, E. V. Gnedovskaya, M. V. Krotenkova
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Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/a23970c1084b47279f5e196419e6c3a0
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spelling oai:doaj.org-article:a23970c1084b47279f5e196419e6c3a02021-12-02T15:49:39ZWhite matter hyperintensity in different migraine subtypes10.1038/s41598-021-90341-02045-2322https://doaj.org/article/a23970c1084b47279f5e196419e6c3a02021-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-90341-0https://doaj.org/toc/2045-2322Abstract The diagnostic value of white matter hyperintensities (WMH) in different types of migraineare unknown. To evaluate the WMH pattern of different subtypes in migraine patients with no vascular risk factors. 92 migraine patients (73 females, mean age 34.6 ± 8.9; 61 episodic migraine, 31 chronic migraine, 36 migraine with aura, 56 migraine without aura) without vascular risk factors underwent brain MRI (3 T). We also included a matched healthy control group with no migraine (n = 24). The prevalence of WMH in different types of migraine was similar and ranged from 38.7 to 44.4%; the control group showed no WMH at all. Lesions were located within frontal, parietal and temporal lobes (in order of decreasing incidence) in juxtacortical and/or deep white matter. WMH appeared as round or slightly elongated foci with a median size of 2.5 mm [1.5; 3]. Total number, size and prevalence of WMH by lobes and white matter regions were similar between groups, and no interaction with age or sex was found. The number of lesions within the frontal lobe juxtacortical white matter correlated with the age of patients (r = 0.331, p = 0.001) and the duration since migraine onset (r = 0.264, p = 0.012). Patients with different migraine subtypes and without vascular risk factors are characterized by a similar pattern of WMH in the absence of subclinical infarctions or microbleedings. Therefore, WMH have no relevant prognostic value regarding the course of migraine and vascular complications. WMH pattern may be used to differentiate migraine as a primary disorder and other disorders with migraine-like headache and WMH.L. A. DobryninaA. D. SuslinaM. V. GubanovaA. V. BelopasovaA. N. SergeevaS. EversE. V. GnedovskayaM. V. KrotenkovaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
L. A. Dobrynina
A. D. Suslina
M. V. Gubanova
A. V. Belopasova
A. N. Sergeeva
S. Evers
E. V. Gnedovskaya
M. V. Krotenkova
White matter hyperintensity in different migraine subtypes
description Abstract The diagnostic value of white matter hyperintensities (WMH) in different types of migraineare unknown. To evaluate the WMH pattern of different subtypes in migraine patients with no vascular risk factors. 92 migraine patients (73 females, mean age 34.6 ± 8.9; 61 episodic migraine, 31 chronic migraine, 36 migraine with aura, 56 migraine without aura) without vascular risk factors underwent brain MRI (3 T). We also included a matched healthy control group with no migraine (n = 24). The prevalence of WMH in different types of migraine was similar and ranged from 38.7 to 44.4%; the control group showed no WMH at all. Lesions were located within frontal, parietal and temporal lobes (in order of decreasing incidence) in juxtacortical and/or deep white matter. WMH appeared as round or slightly elongated foci with a median size of 2.5 mm [1.5; 3]. Total number, size and prevalence of WMH by lobes and white matter regions were similar between groups, and no interaction with age or sex was found. The number of lesions within the frontal lobe juxtacortical white matter correlated with the age of patients (r = 0.331, p = 0.001) and the duration since migraine onset (r = 0.264, p = 0.012). Patients with different migraine subtypes and without vascular risk factors are characterized by a similar pattern of WMH in the absence of subclinical infarctions or microbleedings. Therefore, WMH have no relevant prognostic value regarding the course of migraine and vascular complications. WMH pattern may be used to differentiate migraine as a primary disorder and other disorders with migraine-like headache and WMH.
format article
author L. A. Dobrynina
A. D. Suslina
M. V. Gubanova
A. V. Belopasova
A. N. Sergeeva
S. Evers
E. V. Gnedovskaya
M. V. Krotenkova
author_facet L. A. Dobrynina
A. D. Suslina
M. V. Gubanova
A. V. Belopasova
A. N. Sergeeva
S. Evers
E. V. Gnedovskaya
M. V. Krotenkova
author_sort L. A. Dobrynina
title White matter hyperintensity in different migraine subtypes
title_short White matter hyperintensity in different migraine subtypes
title_full White matter hyperintensity in different migraine subtypes
title_fullStr White matter hyperintensity in different migraine subtypes
title_full_unstemmed White matter hyperintensity in different migraine subtypes
title_sort white matter hyperintensity in different migraine subtypes
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/a23970c1084b47279f5e196419e6c3a0
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