Clinical Research
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Could There Be a Relationship Between Paranasal Sinus and Migraine Etiology?

Year 2024, Volume: 6 Issue: 3, 365 - 368, 24.09.2024
https://doi.org/10.37990/medr.1498699

Abstract

Aim: Migraine is a complex neurological disease with a neurogenic inflammatory component in which nitric oxide (NO) levels increase. Studies have shown that the NO level produced in adults is closely related to the paranasal sinus volume. The aim of this study is to investigate the differences in paranasal sinus volumes responsible for NO synthesis in migraine patients.
Material and Method: The paranasal sinuses of migraine patients (n=50) and healthy subjects (n=50) were examined using cranial T1-weighted magnetic resonance images (MRI). Right and left maxillary, sphenoid and frontal-ethmoid sinus volumes of the groups were calculated in 3D Slicer program and recorded in mm3. Statistical analysis of the study was performed with IBM SPSS 23.0 and p<0.05 values were considered significant.
Results: A statistically significant difference was observed between migraine patients and healthy subjects across all sinus volumes, with the sinus volumes of migraine patients being higher than those of healthy subjects (p<0.05).
Conclusion: We think that the fact that the paranasal sinus volume, which is primarily responsible for NO synthesis, was found to be high in migraine patients may be related to the high NO level in migraine patients.

Ethical Statement

Ethics Committee Approval: The Kayseri City Training and Research Hospital Clinical Research Ethics Committee granted approval for this study (15.12.2023/number: 1017).

Supporting Institution

FUNDING This study was not funded by any commissions of the public, commercial, or not-for-profit sectors for the conduct of research, study design, collection, analysis, and interpretation of the data writing the report, and/or decision of the article for publication.

Thanks

No

References

  • Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia. 2013;33:629-808.
  • Saylor D, Steiner TJ. The global burden of headache. Semin Neurol. 2018;38:182-90.
  • Blau JN. Migraine: theories of pathogenesis. Lancet. 1992;339:1202-7.
  • Neri M, Frustaci A, Milic M, et al. A meta-analysis of biomarkers related to oxidative stress and nitric oxide pathway in migraine. Cephalalgia. 2015;35:931-7.
  • Buckley MS, Agarwal SK, Garcia-Orr R, et al. Comparison of fixed-dose inhaled epoprostenol and inhaled nitric oxide for acute respiratory distress syndrome in critically Ill adults. J Intensive Care Med. 2021;36:466-76.
  • Rathnasiri Bandara SM. Paranasal sinus nitric oxide and migraine: a new hypothesis on the sino rhinogenic theory. Med Hypotheses. 2013;80:329-40.
  • Tassorelli C, Greco R, Morocutti A, et al. Nitric oxide-induced neuronal activation in the central nervous system as an animal model of migraine: mechanisms and mediators. Funct Neurol. 2001;16:69-76.
  • Lundberg JO, Farkas-Szallasi T, Weitzberg E, et al. High nitric oxide production in human paranasal sinuses. Nat Med. 1995;1:370-3.
  • Lundberg JO. Nitric oxide and the paranasal sinuses. Anat Rec (Hoboken). 2008;291:1479-84.
  • Lee S, Fernandez J, Mirjalili SA, Kirkpatrick J. Pediatric paranasal sinuses-development, growth, pathology, & functional endoscopic sinus surgery. Clin Anat. 2022;35:745-61.
  • Abouzid M, Roshdy Y, Daniel JM, et al. The beneficial use of nitric oxide during cardiopulmonary bypass on postoperative outcomes in children and adult patients: a systematic review and meta-analysis of 2897 patients. Eur J Clin Pharmacol. 2023;79:1425-42.
  • Tinsley A, Rothrock JF. What are we missing in the diagnostic criteria for migraine?. Curr Pain Headache Rep. 2018;22:84.
  • Gering DT, Nabavi A, Kikinis R, et al. An integrated visualization system for surgical planning and guidance using image fusion and an open MR. J Magn Reson Imaging. 2001;13:967-75.
  • Payas A, Batın S. The role of paranasal sinuses in the mysterious etiopathogenesis of idiopathic scoliosis. Ann Med Res. 2024;31:71-6.
  • Rathnasiri Bandara SM. Migraine and psychiatric disorders co-morbidity explained by sinus hypoxic nitric oxide theory - a new hypothesis on the Sino rhinogenic theory. Med Hypotheses. 2014;82:257-65.
  • de O S Mansur T, Gonçalves FM, Martins-Oliveira A, et al. Inducible nitric oxide synthase haplotype associated with migraine and aura. Mol Cell Biochem. 2012;364:303-8.
  • Bandara SMR, Samita S, Kiridana AM, Herath HMMTB. Elevated nitric oxide and carbon monoxide concentration in nasal-paranasal sinus air as a diagnostic tool of migraine: a case - control study. BMC Neurol. 2021;21:407.
  • Bandara SMR, Samita S, Kiridana AM, et al. Paranasal sinus air suction for immediate pain relief of acute migraine - a randomized, double blind pilot study. BMC Neurol. 2019;19:248.
  • van der Kuy PH, Merkus FW, Lohman JJ, et al. Hydroxocobalamin, a nitric oxide scavenger, in the prophylaxis of migraine: an open, pilot study. Cephalalgia. 2002;22:513-9.
Year 2024, Volume: 6 Issue: 3, 365 - 368, 24.09.2024
https://doi.org/10.37990/medr.1498699

Abstract

References

  • Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia. 2013;33:629-808.
  • Saylor D, Steiner TJ. The global burden of headache. Semin Neurol. 2018;38:182-90.
  • Blau JN. Migraine: theories of pathogenesis. Lancet. 1992;339:1202-7.
  • Neri M, Frustaci A, Milic M, et al. A meta-analysis of biomarkers related to oxidative stress and nitric oxide pathway in migraine. Cephalalgia. 2015;35:931-7.
  • Buckley MS, Agarwal SK, Garcia-Orr R, et al. Comparison of fixed-dose inhaled epoprostenol and inhaled nitric oxide for acute respiratory distress syndrome in critically Ill adults. J Intensive Care Med. 2021;36:466-76.
  • Rathnasiri Bandara SM. Paranasal sinus nitric oxide and migraine: a new hypothesis on the sino rhinogenic theory. Med Hypotheses. 2013;80:329-40.
  • Tassorelli C, Greco R, Morocutti A, et al. Nitric oxide-induced neuronal activation in the central nervous system as an animal model of migraine: mechanisms and mediators. Funct Neurol. 2001;16:69-76.
  • Lundberg JO, Farkas-Szallasi T, Weitzberg E, et al. High nitric oxide production in human paranasal sinuses. Nat Med. 1995;1:370-3.
  • Lundberg JO. Nitric oxide and the paranasal sinuses. Anat Rec (Hoboken). 2008;291:1479-84.
  • Lee S, Fernandez J, Mirjalili SA, Kirkpatrick J. Pediatric paranasal sinuses-development, growth, pathology, & functional endoscopic sinus surgery. Clin Anat. 2022;35:745-61.
  • Abouzid M, Roshdy Y, Daniel JM, et al. The beneficial use of nitric oxide during cardiopulmonary bypass on postoperative outcomes in children and adult patients: a systematic review and meta-analysis of 2897 patients. Eur J Clin Pharmacol. 2023;79:1425-42.
  • Tinsley A, Rothrock JF. What are we missing in the diagnostic criteria for migraine?. Curr Pain Headache Rep. 2018;22:84.
  • Gering DT, Nabavi A, Kikinis R, et al. An integrated visualization system for surgical planning and guidance using image fusion and an open MR. J Magn Reson Imaging. 2001;13:967-75.
  • Payas A, Batın S. The role of paranasal sinuses in the mysterious etiopathogenesis of idiopathic scoliosis. Ann Med Res. 2024;31:71-6.
  • Rathnasiri Bandara SM. Migraine and psychiatric disorders co-morbidity explained by sinus hypoxic nitric oxide theory - a new hypothesis on the Sino rhinogenic theory. Med Hypotheses. 2014;82:257-65.
  • de O S Mansur T, Gonçalves FM, Martins-Oliveira A, et al. Inducible nitric oxide synthase haplotype associated with migraine and aura. Mol Cell Biochem. 2012;364:303-8.
  • Bandara SMR, Samita S, Kiridana AM, Herath HMMTB. Elevated nitric oxide and carbon monoxide concentration in nasal-paranasal sinus air as a diagnostic tool of migraine: a case - control study. BMC Neurol. 2021;21:407.
  • Bandara SMR, Samita S, Kiridana AM, et al. Paranasal sinus air suction for immediate pain relief of acute migraine - a randomized, double blind pilot study. BMC Neurol. 2019;19:248.
  • van der Kuy PH, Merkus FW, Lohman JJ, et al. Hydroxocobalamin, a nitric oxide scavenger, in the prophylaxis of migraine: an open, pilot study. Cephalalgia. 2002;22:513-9.
There are 19 citations in total.

Details

Primary Language English
Subjects Pain, Anatomy
Journal Section Original Articles
Authors

Ahmet Payas 0000-0002-1629-9794

Şule Göktürk 0000-0001-6590-4885

Yasin Göktürk 0000-0002-4779-9927

Ali Koç 0000-0003-0296-4914

Adem Tokpınar 0000-0001-7661-9588

Hikmet Kocaman 0000-0001-5971-7274

Publication Date September 24, 2024
Submission Date June 10, 2024
Acceptance Date July 18, 2024
Published in Issue Year 2024 Volume: 6 Issue: 3

Cite

AMA Payas A, Göktürk Ş, Göktürk Y, Koç A, Tokpınar A, Kocaman H. Could There Be a Relationship Between Paranasal Sinus and Migraine Etiology?. Med Records. September 2024;6(3):365-368. doi:10.37990/medr.1498699

17741

Chief Editors

Assoc. Prof. Zülal Öner
Address: İzmir Bakırçay University, Department of Anatomy, İzmir, Türkiye

Assoc. Prof. Deniz Şenol
Address: Düzce University, Department of Anatomy, Düzce, Türkiye

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