Klinik Araştırma
BibTex RIS Kaynak Göster

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

Yıl 2024, Cilt: 6 Sayı: 3, 365 - 368, 24.09.2024
https://doi.org/10.37990/medr.1498699

Öz

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.

Etik Beyan

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

Destekleyen Kurum

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.

Teşekkür

No

Kaynakça

  • 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.
Yıl 2024, Cilt: 6 Sayı: 3, 365 - 368, 24.09.2024
https://doi.org/10.37990/medr.1498699

Öz

Kaynakça

  • 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.
Toplam 19 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Ağrı, Anatomi
Bölüm Özgün Makaleler
Yazarlar

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

Yayımlanma Tarihi 24 Eylül 2024
Gönderilme Tarihi 10 Haziran 2024
Kabul Tarihi 18 Temmuz 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 6 Sayı: 3

Kaynak Göster

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. Eylül 2024;6(3):365-368. doi:10.37990/medr.1498699

 Chief Editors

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

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

E-mail: medrecsjournal@gmail.com

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