Evidence map›Paper›PMID 28686073›Full record

Trial reportJournal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism2019

Effect of hypoxia on BOLD fMRI response and total cerebral blood flow in migraine with aura patients.

Nanna Arngrim, Anders Hougaard, Henrik W Schytz, Mark B Vestergaard, Josefine Britze, Faisal Mohammad Amin, Karsten S Olsen, Henrik Bw Larsson, Jes Olesen, Messoud Ashina

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. What does a migraine aura look like?-A systematic review.The journal of headache and pain · 2025
    Pooled it
  2. Higher physiological vulnerability to hypoxic exposure with advancing age in the human brain.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2020
    Trial
  3. Review
  4. Linking patent foramen ovale with atrial cardiomyopathy: a narrative review of clinical signals, electrophysiology, and translational opportunities.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. Evaluating migraine with typical aura with neuroimaging.Frontiers in human neuroscience · 2023
    Review
  10. Article
  11. Article
  12. Article
  13. Effects of mild hypoxia on oxygen extraction fraction responses to brain stimulation.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2021
    Article
  14. Review
  15. Measurement of CMROJournal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2020
    Article
  16. Article
  17. Neurovascular origin of primary headaches.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2019
    Article
  18. Review
  19. Review
  20. Review
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

10 authors at 1 institution in 1 country.

Nanna Arngrim1 Danish Headache Center and Department of Neurology, University of Copenhagen, Copenhagen, Denmark.
Anders Hougaard1 Danish Headache Center and Department of Neurology, University of Copenhagen, Copenhagen, Denmark.
Henrik W Schytz1 Danish Headache Center and Department of Neurology, University of Copenhagen, Copenhagen, Denmark.
Mark B Vestergaard2 Department of Clinical Physiology, Nuclear Medicine and PET, Functional Imaging Unit, University of Copenhagen, Copenhagen, Denmark.
Josefine Britze1 Danish Headache Center and Department of Neurology, University of Copenhagen, Copenhagen, Denmark.
Faisal Mohammad Amin1 Danish Headache Center and Department of Neurology, University of Copenhagen, Copenhagen, Denmark.
Karsten S Olsen3 Department of Neuroanaesthesiology, The Neuroscience Centre, Rigshospitalet Glostrup, Faculty of Health and Medical Sciences, University of Copenhagen, Glostrup, Denmark.
Henrik Bw Larsson2 Department of Clinical Physiology, Nuclear Medicine and PET, Functional Imaging Unit, University of Copenhagen, Copenhagen, Denmark.
Jes Olesen1 Danish Headache Center and Department of Neurology, University of Copenhagen, Copenhagen, Denmark.
Messoud Ashina1 Danish Headache Center and Department of Neurology, University of Copenhagen, Copenhagen, Denmark.
University of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Experimentally induced hypoxia triggers migraine and aura attacks in patients suffering from migraine with aura (MA). We investigated the blood oxygenation level-dependent (BOLD) signal response to visual stimulation during hypoxia in MA patients and healthy volunteers. In a randomized double-blind crossover study design, 15 MA patients were allocated to 180 min of normobaric poikilocapnic hypoxia (capillary oxygen saturation 70-75%) or sham (normoxia) on two separate days and 14 healthy volunteers were exposed to hypoxia. The BOLD functional MRI (fMRI) signal response to visual stimulation was measured in the visual cortex ROIs V1-V5. Total cerebral blood flow (CBF) was calculated by measuring the blood velocity in the internal carotid arteries and the basilar artery using phase-contrast mapping (PCM) MRI. Hypoxia induced a greater decrease in BOLD response to visual stimulation in V1-V4 in MA patients compared to controls. There was no group difference in hypoxia-induced total CBF increase. In conclusion, the study demonstrated a greater hypoxia-induced decrease in BOLD response to visual stimulation in MA patients. We suggest this may represent a hypoxia-induced change in neuronal excitability or abnormal vascular response to visual stimulation, which may explain the increased sensibility to hypoxia in these patients leading to migraine attacks.

Indexed as

Cerebrovascular CirculationAdolescentAdultFemaleHumansHypoxiaMagnetic Resonance AngiographyMagnetic Resonance ImagingMaleMiddle AgedMigraine with AuraOxygenPhotic StimulationYoung AdultOxygenBlood oxygenation level-dependent contrastcerebral blood flowfunctional MRIhemodynamicsmigraine

Identifiers

PMID28686073
PMCPMC6446416
OpenAlexW2932042024

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.