Evidence map›Paper›PMID 27190022›Full record

ArticleBrain : a journal of neurology2016

Migraine photophobia originating in cone-driven retinal pathways.

Rodrigo Noseda, Carolyn A Bernstein, Rony-Reuven Nir, Alice J Lee, Anne B Fulton, Suzanne M Bertisch, Alexandra Hovaguimian, Dean M Cestari, Rodrigo Saavedra-Walker, David Borsook and 3 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Brain : a journal of neurology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03857074 (Effects of Green Light Exposure on Epileptic Spikes in Patients With Refractory Epilepsy), which is not on this map. Cited by 86 papers.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed
9.7field-weighted citation impact, top 1% 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.

NCT03857074 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Effects of Green Light Exposure on Epileptic Spikes in Patients With Refractory Epilepsy

TypeinterventionalSponsorBoston Children's HospitalRan2019 to 2023Enrolled16ConditionsEpilepsy, Epilepsy IntractableArmsGreen Light Exposure
3 · Its place in the literature

Who cites it

86 citing papers in PubMed, 158 citations in OpenAlex.

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  11. Ambient green light reduces knee pain in osteoarthritis patients.Canadian journal of pain = Revue canadienne de la douleur · 2026
    Article
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  20. Light Therapy in Chronic Migraine.Current pain and headache reports · 2024
    Review

26 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 2 countries.

Rodrigo NosedaDepartment of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Boston MA 02215, USA Harvard Medical School, Boston, MA 02115, USA.
Carolyn A BernsteinDepartment of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Boston MA 02215, USA Harvard Medical School, Boston, MA 02115, USA.
Rony-Reuven NirDepartment of Neurology, Rambam Health Care Campus, and Laboratory of Clinical Neurophysiology, Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel, 31096.
Alice J LeeHarvard Catalyst Clinical Research Center, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA.
Anne B FultonHarvard Medical School, Boston, MA 02115, USA Department of Ophthalmology, Children's Hospital Boston, Boston MA 02115, USA.
Suzanne M BertischHarvard Medical School, Boston, MA 02115, USA Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA.
Alexandra HovaguimianHarvard Medical School, Boston, MA 02115, USA Department of Neurology, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA.
Dean M CestariHarvard Medical School, Boston, MA 02115, USA Department of Neuro-ophthalmology, Massachusetts Eye and Ear Infirmary, Boston, MA 02114, USA.
Rodrigo Saavedra-WalkerDepartment of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Boston MA 02215, USA.
David BorsookHarvard Medical School, Boston, MA 02115, USA Center for Pain and the Brain, Department of Anesthesia Critical Care and Pain Medicine, Boston Children's Hospital, Boston, MA 02115, USA.
Bruce L DoranDiagnosys LLC, Lowell, MA 01854, USA.
Catherine BuettnerHarvard Medical School, Boston, MA 02115, USA Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA.
Rami BursteinDepartment of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Boston MA 02215, USA Harvard Medical School, Boston, MA 02115, USA rburstei@bidmc.harvard.edu.
Harvard University · USBeth Israel Deaconess Medical Center · USRambam Health Care Campus · IL

Funding

Harvard Clinical and Translational Science CenterUL1TR001102 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2013 to 2017
$106.2M
Photophobia during migraine: sensory, autonomic and emotional responses to lightR37NS079678 · NINDS · BETH ISRAEL DEACONESS MEDICAL CENTER · PI BURSTEIN, RAMI · 2012 to 2018
$3.1M
Cortical Mechanisms of Headache: Beyond CSDR01NS094198 · NINDS · BETH ISRAEL DEACONESS MEDICAL CENTER · PI BURSTEIN, RAMI · 2016 to 2020
$1.9M
Migraine pathophysiology: neural basis of photophobiaR01NS069847 · NINDS · BETH ISRAEL DEACONESS MEDICAL CENTER · PI BURSTEIN, RAMI · 2010 to 2014
$1.9M
Imaging Pain and Analgesia: Mentoring in Basic and Applied ResearchK24NS064050 · NINDS · MCLEAN HOSPITAL · PI BORSOOK, DAVID · 2008 to 2017
$1.7M
Neural Basis of Occipital HeadacheR21NS090254 · NINDS · BETH ISRAEL DEACONESS MEDICAL CENTER · PI NOSEDA, RODRIGO · 2015 to 2016
$479k
NCATS NIH HHS UL1 TR001102NINDS NIH HHS K24 NS064050NINDS NIH HHS R01 NS069847NINDS NIH HHS R01 NS094198NINDS NIH HHS R21 NS090254NINDS NIH HHS R37 NS079678
6 · The paper itself

Abstract

Migraine headache is uniquely exacerbated by light. Using psychophysical assessments in patients with normal eyesight we found that green light exacerbates migraine headache significantly less than white, blue, amber or red lights. To delineate mechanisms, we used electroretinography and visual evoked potential recording in patients, and multi-unit recording of dura- and light-sensitive thalamic neurons in rats to show that green activates cone-driven retinal pathways to a lesser extent than white, blue and red; that thalamic neurons are most responsive to blue and least responsive to green; and that cortical responses to green are significantly smaller than those generated by blue, amber and red lights. These findings suggest that patients' experience with colour and migraine photophobia could originate in cone-driven retinal pathways, fine-tuned in relay thalamic neurons outside the main visual pathway, and preserved by the cortex. Additionally, the findings provide substrate for the soothing effects of green light.

Indexed as

AdolescentAdultAnimalsElectroretinographyEvoked Potentials, VisualFemaleHumansMaleMiddle AgedMigraine DisordersNeuronsPhotic StimulationPhotophobiaRatsRats, Sprague-DawleyRetinal Cone Photoreceptor Cellselectroretinographyheadachepainthalamusvisual evoked potential

Identifiers

PMID27190022
PMCPMC4939697
OpenAlexW2405593464

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.