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Çocukluk Çağı Migreni ile Subkortikal Gri Madde Yapılarının İlişkisi

Year 2020, Volume: 6 Issue: 1, 106 - 111, 01.01.2020

Abstract

Amaç: Migren, çocuklardaki tekrarlayıcı baş ağrısının en sık sebebidir. Migren patogenezi halen aydınlatılamamıştır. Çalışmalarda, çoğunluğu yetişkinlerde olmak üzere, subkortikal gri cevher yapılarının migren patogenezindeki rolü araştırılmış olup farklı sonuçlar sunulmuştur. Çalışma ile migren patogenezinde subkortikal gri cevher yapılarının rolünün belirlenmesi amaçlanmıştır.Gereç ve Yöntemler: Çalışmaya normal manyetik rezonans görüntülemeye MRG sahip olan, benzer yaş ve cinsiyet dağılımında 28 çocukluk çağı migren ÇÇM hastası ile 41 kontrol hastası alındı. Migren hastaları aynı zamanda auralı migren 8 hasta ve aurasız migren 20 hasta grubu olarak da sınıflandırıldı T1 ağırlıklı görüntülerden ‘volBrain’ programı kullanılarak, subkortikal gri cevher volümleri elde edildi ve karşılaştırıldı.Bulgular: Çalışma sonucunda ÇÇM hastalarının putamen volümleri sağlıklı kontrol grubuna oranla anlamlı olarak artmış bulundu total putamen p

References

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  • Ozge A, Termine C, Antonaci F, Natriashvili S, Guidetti V, Wober-Bingol C. Overview of diagnosis and management of paediatric headache. Part I: Diagnosis. J Headache Pain 2011; 12:13-23.
  • Charles A. The pathophysiology of migraine: implications for clinical Management. Lancet Neurol 2018; 17:174-82.
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  • Bartolini M, Baruffaldi R, Paolino I, Silvestrini M. Cerebral blood flow changes in the different phases of migraine. Functional Neurology 2005; 20:209-11.
  • Dora B, Balkan S. Exaggerated interictal cerebrovascular reactivity but normal blood flow velocities in migraine without aura. Cephalalgia 2002; 22:288-90.
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  • Borsook D, Upadhyay J, Chudler EH, Becerra L. A key role of the basal ganglia in pain and analgesia-insights gained through human functional imaging. Molecular Pain 2010; 6:27.
  • Chudler EH, Dong WK. The role of the basal ganglia in nociception and pain. Pain 1995; 60:3-8.
  • Moulton EA, Becerra L, Maleki N, Pendse G, Tully S, Hargreaves R, Burstein R, Borsook D. Painful heat reveals hyperexcitability of the temporal pole in interictal and ictal migraine states. Cerebral Cortex 2010; 21:435-48.
  • Kobari M, Meyer JS, Ichijo M, Imai A, Oravez WT: Hyperperfusion of cerebral cortex, thalamus and basal ganglia during spontaneously occurring migraine headaches. Headache 1989; 29:282-9.
  • Derbyshire SW, Jones AK, Collins M, Feinmann C, Harris M. Cerebral responses to pain in patients suffering acute post-dental extraction pain measured by positron emission Tomography (PET). Eur J Pain 1999; 3:103-13.
  • Bingel U, Gläscher J, Weiller C, Büchel C. Somatotopic representation of nociceptive information in the putamen: an event-related fMRI study. Cerebral Cortex 2004; 14:1340-5.
  • Rocca MA, Messina R, Colombo B, Falini A, Comi G, Filippi M. Structural brain MRI abnormalities in pediatric patients with migraine. Journal of Neurology 2014; 261:350-7.
  • Santoro JD, Forkert ND, Yang QZ, Pavitt S, MacEachern SJ, Moseley ME, Yeom KW. Brain diffusion abnormalities in children with tension-type and migraine- type headaches. American Journal of Neuroradiology 2018; 39:935-41.
  • Poulet JF, Fernandez LM, Crochet S, Petersen CC. Thalamic control of cortical states. Nat Neurosci 2012; 15:370-2.
  • Noseda R, Burstein R. Migraine pathophysiology: Anatomy of the trigeminovascular pathway and associated neurological symptoms, CSD, sensitization and modulation of pain. Pain 2013; 154(Suppl 1): S44-S53.
  • Amin FM, Hougaard A, Magon S, Sprenger T, Wolfram F, Rostrup E, Ashina M. Altered thalamic connectivity during spontaneous attacks of migraine without aura: A resting-state fMRI study. Cephalalgi 2018; 38:1237-44.
  • Chen Z, Jia Z, Chen X, Liu M, Liu S, Ma L, Yu S. Volumetric abnormalities of thalamic subnuclei in medication-overuse headache. Journal of Headache and Pain 2017;18(1):82.
  • Afridi SK, Giffin NJ, Kaube H, Friston KJ, Ward NS, Frackowiak RS, Goadsby PJ. A positron emission tomographic study in spontaneous migraine. Archives of Neurology 2005; 62:1270-5.
  • Hougaard A, Amin FM, Hoffmann MB, Larsson HB, Magon S, Sprenger T, Ashina M. Structural gray matter abnormalities in migraine relate to headache lateralization, but not aura. Cephalalgia 2015; 35:3-9.
  • Karnath HO, Himmelbach M, Rorden C. The subcortical anatomy of human spatial neglect: Putamen, caudate nucleus and pulvinar. Brain 2002; 125:350-60.
  • Seger CA. The visual corticostriatal loop through the tail of the caudate: Circuitry and function. Frontiers in Systems Neuroscience 2013;7:104.

The Relationship Between Childhood Migraine and Subcortical Gray Matter Structures

Year 2020, Volume: 6 Issue: 1, 106 - 111, 01.01.2020

Abstract

Objective: Migraine is the most common cause of recurrent headache in children. The pathophysiology of migraine remains unclear. In recent studies, mostly in adults, the role of subcortical gray matter structures in migraine pathophysiology was investigated and various results were presented. The aim of this study was to determine the role of subcortical gray matter structures in the pathogenesis of migraine.Material and Methods: The study included 28 childhood migraine patients and 41 control patients with similar age and gender distribution and normal magnetic resonance imaging MRI findings. Migraine patients were also classified as migraine with aura 8 patients and migraine without aura 20 patients . Subcortical gray matter volumes were obtained and compared from T1-weighted images using the volBrain program.Results: Putamen volumes of childhood migraine patients were significantly increased compared to healthy controls total putamen p

References

  • Headache Classification Committee of the International Headache Society (IHS). International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia 2013; 33:629-80.
  • Ozge A, Termine C, Antonaci F, Natriashvili S, Guidetti V, Wober-Bingol C. Overview of diagnosis and management of paediatric headache. Part I: Diagnosis. J Headache Pain 2011; 12:13-23.
  • Charles A. The pathophysiology of migraine: implications for clinical Management. Lancet Neurol 2018; 17:174-82.
  • Messina R, Rocca MA, Colombo B, et al. White matter microstructure abnormalities in pediatric migraine patients. Cephalalgia 2015; 35:1278-86.
  • Magon S, May A, Stankewitz A, Goadsby PJ, Tso AR, Ashina M, Amin FM, Seifert CL, Chakravarty MM, Müller J, Sprenger T. Morphological abnormalities of thalamic subnuclei in migraine: A multicenter MRI study at 3 tesla. Journal of Neuroscience 2015; 35:13800-6.
  • Maleki N, Becerra L, Nutile L, Pendse G, Brawn J, Bigal M, Burstein R, Borsook D. Migraine attacks the basal ganglia. Molecular Pain 2011; 7:71.
  • Manjón JV, Coupé P. volBrain: An online MRI brain volumetry system. Front Neuroinform 2016;10:30.
  • Bartolini M, Baruffaldi R, Paolino I, Silvestrini M. Cerebral blood flow changes in the different phases of migraine. Functional Neurology 2005; 20:209-11.
  • Dora B, Balkan S. Exaggerated interictal cerebrovascular reactivity but normal blood flow velocities in migraine without aura. Cephalalgia 2002; 22:288-90.
  • Weiller C, May A, Limmroth VA, Jüptner M, Kaube H, Schayck RV, Coenen HH, Dlener HC. Brain stem activation in spontaneous human migraine attacks. Nature Medicine 1995; 1:658.
  • Borsook D, Upadhyay J, Chudler EH, Becerra L. A key role of the basal ganglia in pain and analgesia-insights gained through human functional imaging. Molecular Pain 2010; 6:27.
  • Chudler EH, Dong WK. The role of the basal ganglia in nociception and pain. Pain 1995; 60:3-8.
  • Moulton EA, Becerra L, Maleki N, Pendse G, Tully S, Hargreaves R, Burstein R, Borsook D. Painful heat reveals hyperexcitability of the temporal pole in interictal and ictal migraine states. Cerebral Cortex 2010; 21:435-48.
  • Kobari M, Meyer JS, Ichijo M, Imai A, Oravez WT: Hyperperfusion of cerebral cortex, thalamus and basal ganglia during spontaneously occurring migraine headaches. Headache 1989; 29:282-9.
  • Derbyshire SW, Jones AK, Collins M, Feinmann C, Harris M. Cerebral responses to pain in patients suffering acute post-dental extraction pain measured by positron emission Tomography (PET). Eur J Pain 1999; 3:103-13.
  • Bingel U, Gläscher J, Weiller C, Büchel C. Somatotopic representation of nociceptive information in the putamen: an event-related fMRI study. Cerebral Cortex 2004; 14:1340-5.
  • Rocca MA, Messina R, Colombo B, Falini A, Comi G, Filippi M. Structural brain MRI abnormalities in pediatric patients with migraine. Journal of Neurology 2014; 261:350-7.
  • Santoro JD, Forkert ND, Yang QZ, Pavitt S, MacEachern SJ, Moseley ME, Yeom KW. Brain diffusion abnormalities in children with tension-type and migraine- type headaches. American Journal of Neuroradiology 2018; 39:935-41.
  • Poulet JF, Fernandez LM, Crochet S, Petersen CC. Thalamic control of cortical states. Nat Neurosci 2012; 15:370-2.
  • Noseda R, Burstein R. Migraine pathophysiology: Anatomy of the trigeminovascular pathway and associated neurological symptoms, CSD, sensitization and modulation of pain. Pain 2013; 154(Suppl 1): S44-S53.
  • Amin FM, Hougaard A, Magon S, Sprenger T, Wolfram F, Rostrup E, Ashina M. Altered thalamic connectivity during spontaneous attacks of migraine without aura: A resting-state fMRI study. Cephalalgi 2018; 38:1237-44.
  • Chen Z, Jia Z, Chen X, Liu M, Liu S, Ma L, Yu S. Volumetric abnormalities of thalamic subnuclei in medication-overuse headache. Journal of Headache and Pain 2017;18(1):82.
  • Afridi SK, Giffin NJ, Kaube H, Friston KJ, Ward NS, Frackowiak RS, Goadsby PJ. A positron emission tomographic study in spontaneous migraine. Archives of Neurology 2005; 62:1270-5.
  • Hougaard A, Amin FM, Hoffmann MB, Larsson HB, Magon S, Sprenger T, Ashina M. Structural gray matter abnormalities in migraine relate to headache lateralization, but not aura. Cephalalgia 2015; 35:3-9.
  • Karnath HO, Himmelbach M, Rorden C. The subcortical anatomy of human spatial neglect: Putamen, caudate nucleus and pulvinar. Brain 2002; 125:350-60.
  • Seger CA. The visual corticostriatal loop through the tail of the caudate: Circuitry and function. Frontiers in Systems Neuroscience 2013;7:104.
There are 26 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Zeynep Selen Karalök This is me

Altan Güneş This is me

Zeynep Öztürk This is me

Publication Date January 1, 2020
Published in Issue Year 2020 Volume: 6 Issue: 1

Cite

Vancouver Karalök ZS, Güneş A, Öztürk Z. Çocukluk Çağı Migreni ile Subkortikal Gri Madde Yapılarının İlişkisi. Akd Med J. 2020;6(1):106-11.