Evidence map›Paper›PMID 21936901›Full record

ArticleMolecular pain2011

Migraine attacks the Basal Ganglia.

Nasim Maleki, Lino Becerra, Lauren Nutile, Gautam Pendse, Jennifer Brawn, Marcelo Bigal, Rami Burstein, David Borsook

Open access · goldAbstract read
In one paragraph

Article in Molecular pain, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 84 papers.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed
7.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

84 citing papers in PubMed, 159 citations in OpenAlex.

  1. High-definition tDCS over primary motor cortex modulates brain signal variability and functional connectivity in episodic migraine.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2024
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  15. Trigeminocervical pain sensitivity during the migraine cycle depends on headache frequency.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023
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24 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Nasim MalekiDepartment of Radiology, Children’s Hospital Boston, Harvard Medical School, Boston, MA 02115, USA.
Lino Becerra
Lauren Nutile
Gautam Pendse
Jennifer Brawn
Marcelo Bigal
Rami Burstein
David Borsook
McLean Hospital · USBoston Children's Hospital · USBeth Israel Deaconess Medical Center · USImaging Center · USMerck & Co., Inc., Rahway, NJ, USA (United States) · US

Funding

Imaging Pain and Analgesia: Mentoring in Basic and Applied ResearchK24NS064050 · NINDS · MCLEAN HOSPITAL · PI BORSOOK, DAVID · 2008 to 2017
$1.7M
fMRI Measures of Central Sensitization in MigraineR01NS056195 · NINDS · MCLEAN HOSPITAL · PI BORSOOK, DAVID · 2006 to 2010
$1.7M
NINDS NIH HHS K24 NS064050NINDS NIH HHS R01 NS056195
6 · The paper itself

Abstract

backgroundWith time, episodes of migraine headache afflict patients with increased frequency, longer duration and more intense pain. While episodic migraine may be defined as 1-14 attacks per month, there are no clear-cut phases defined, and those patients with low frequency may progress to high frequency episodic migraine and the latter may progress into chronic daily headache (> 15 attacks per month). The pathophysiology of this progression is completely unknown. Attempting to unravel this phenomenon, we used high field (human) brain imaging to compare functional responses, functional connectivity and brain morphology in patients whose migraine episodes did not progress (LF) to a matched (gender, age, age of onset and type of medication) group of patients whose migraine episodes progressed (HF).

resultsIn comparison to LF patients, responses to pain in HF patients were significantly lower in the caudate, putamen and pallidum. Paradoxically, associated with these lower responses in HF patients, gray matter volume of the right and left caudate nuclei were significantly larger than in the LF patients. Functional connectivity analysis revealed additional differences between the two groups in regard to response to pain.

conclusionsSupported by current understanding of basal ganglia role in pain processing, the findings suggest a significant role of the basal ganglia in the pathophysiology of the episodic migraine.

Indexed as

AdultBasal GangliaCase-Control StudiesCaudate NucleusFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedMigraine DisordersPutamen

Identifiers

PMID21936901
PMCPMC3192678
OpenAlexW2142552184

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.