THE RELATIONSHIP OF PREPONTINE DISTANCE WITH MIGRAINE DISEASE

Year 2024, Volume: 31 Issue: 1, 31 - 37, 18.03.2024

Ebru Otu , Tuğrul Örmeci Neslihan Yüzbaşıoğlu

https://doi.org/10.17343/sdutfd.1325692

Abstract

Objective
In recent years, migraine disease has been
associated with changes in the cerebrovascular
structure, especially in the development of infarctlike
lesions in the posterior circulatory region. We
think that the differences in the geometric structure
of the vertebrobasilar system providing posterior
circulation may be related to posterior cranial fossa
(PCF) crowding. For this purpose, in this retrospective
study, we investigated the relationship between
the morphometric properties of PCF and migraine
disease.
Material and Method
60 patients diagnosed with migraine between the
ages of 18-55 and 50 patients diagnosed with
non-migraine patients were included in our study.
Morphometric parameters, which are indicators auof
PCF, were measured on T1-weighted sagittal
Magnetic Resonance (MR) images of patients.
Results
Anterior-posterior diameter of the prepontine distance
was statistically significantly lower in migraine patients
compared to the control group (p=0.006). There was
no significant difference between the groups in PCF
crowding.
Conclusion
In migraine patients, the short prepontine distance,
which is one of the indicators of PCF crowding,
may be a risk factor in the development of migraine
disease by causing compression of the basilar artery
or trigeminal nerve located in this space.

Keywords

migraine, trigeminal nerve, vertebrobasilar system, magnetic resonance imaging

PREPONTİN MESAFENİN MİGREN HASTALIĞI İLE İLİŞKİSİ

Abstract

Amaç
Son yıllarda migren hastalığı, özellikle beynin posterior
dolaşım bölgesindeki enfarktüs benzeri lezyonların
geliştiği serebrovasküler yapıdaki değişiklikler
ile ilişkilendirilmektedir. Posterior serebral dolaşımını
sağlayan vertebrobaziller sistemin (VBS) geometrik
yapısındaki farklılıkların, posterior kranial fossa (PKF)
kalabalıklığı ile ilişkili olabileceğini düşünmekteyiz. Bu
amaçla retrospektif olarak yapmış olduğumuz bu çalışmada,
PKF’ye ait morfometrik özelliklerin migren ile
ilişkisini araştırdık.
Gereç ve Yöntem
Çalışmamıza, 18-55 yaş aralığında 60 migren tanılı
hasta ve 50 migren dışı tanı alan hasta dahil edilmiştir.
Hastalara ait T1 ağırlıklı sagittal Manyetik Rezonans
(MR) görüntüleri kullanılarak PKF kalabalıklığı göstergesi
olan morfometrik parametreler ölçülmüştür.
Bulgular
Migren hastalarında prepontin ön-arka mesafesi kontrol
grubuna göre daha kısa bulunmuştur (p=0,006).
PFK kalabalıklığı göstergesi diğer parametrelerde
gruplar arasında anlamlı bir farklılık bulunmamıştır.
Sonuç
Migren hastalarında, PKF kalabalıklığının göstergelerinden
biri olan prepontin mesafenin kısa olması, bu
aralıktaki a. basilaris veya n. trigeminus’un kompresyonuna
sebep olarak migren hastalığının gelişmesinde
bir risk faktörü olabilir.

Keywords

migren, n. trigeminus, vertebrobaziler sistem, manyetik rezonans görüntüleme

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