Evidence map›Paper›PMID 32188423›Full record

ArticleThe journal of headache and pain2020

The cerebellum is associated with 2-year prognosis in patients with high-frequency migraine.

Hung-Yu Liu, Pei-Lin Lee, Kun-Hsien Chou, Kuan-Lin Lai, Yen-Feng Wang, Shih-Pin Chen, Wei-Ta Chen, Shuu-Jiun Wang

Abstract read
In one paragraph

Article in The journal of headache and pain, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Acceleration of brain aging after small-volume infarcts.Frontiers in aging neuroscience · 2024
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  11. Cerebro-Cerebellar Networks in Migraine Symptoms and Headache.Frontiers in pain research (Lausanne, Switzerland) · 2022
    Review
  12. Involvement of the cerebellum in migraine.Frontiers in systems neuroscience · 2022
    Review
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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.

Hung-Yu LiuDepartment of Neurology, Neurological Institute, Taipei Veterans General Hospital, No. 201, Sec. 2 Shih-Pai Rd, Taipei, Taiwan.
Pei-Lin LeeInstitute of Neuroscience, National Yang-Ming University, Taipei, Taiwan.
Kun-Hsien ChouInstitute of Neuroscience, National Yang-Ming University, Taipei, Taiwan.
Kuan-Lin LaiDepartment of Neurology, Neurological Institute, Taipei Veterans General Hospital, No. 201, Sec. 2 Shih-Pai Rd, Taipei, Taiwan.
Yen-Feng WangDepartment of Neurology, Neurological Institute, Taipei Veterans General Hospital, No. 201, Sec. 2 Shih-Pai Rd, Taipei, Taiwan.
Shih-Pin ChenDepartment of Neurology, Neurological Institute, Taipei Veterans General Hospital, No. 201, Sec. 2 Shih-Pai Rd, Taipei, Taiwan.
Wei-Ta ChenDepartment of Neurology, Neurological Institute, Taipei Veterans General Hospital, No. 201, Sec. 2 Shih-Pai Rd, Taipei, Taiwan. wtchen71@gmail.com.
Shuu-Jiun WangDepartment of Neurology, Neurological Institute, Taipei Veterans General Hospital, No. 201, Sec. 2 Shih-Pai Rd, Taipei, Taiwan. sjwang@vghtpe.gov.tw.

Funding

Ministry of Science and Technology, Taiwan 106-2221-E-010-011-MY3Ministry of Science and Technology, Taiwan 107-2221-E-010-010-MY3Ministry of Science and Technology, Taiwan 107-2314-B-075 -015 -MY2Ministry of Science and Technology, Taiwan 107-2314-B-075-058-MY3Ministry of Science and Technology, Taiwan 108-2314-B-010-023-MY3Ministry of Science and Technology, Taiwan 108-2321-B-010-001-MY3Ministry of Science and Technology, Taiwan 108-2321-B-010-014-MY2Taipei Veterans General Hospital V108C-129
6 · The paper itself

Abstract

backgroundThe increase of headache frequency is associated with higher headache related disability and lower quality of life in patients with migraine. However, the pathophysiology of migraine progression, persistence, or remission is elusive. The purpose of this study is to identify the brain signatures that are predictive of the long-term outcomes among patients with high-frequency migraine (HFM: 10-30 headache days/month).

methodsWe prospectively enrolled patients with HFM and healthy controls and collected their baseline clinical profiles and brain-MRI data at first visit. We longitudinally followed the patients and determined their outcomes at 2-year follow-up. Good outcome was defined as ≥50% reduction of baseline headache days and poor outcome was defined as reduction < 50% or frequency increase. Voxel-based morphometry was used to study gray matter volume (GMV), and structural covariance was used to investigate structural connectivity.

resultsAmong 56 patients with HFM, 37 had good outcome and 19 poor outcome. Compared to the healthy controls (n = 37), patients with poor outcome had decreased GMV over the left posterior cingulate gyrus, and increased GMV over the bilateral cerebellum and the right precentral gyrus. Further, patients with poor outcome had greater GMV over the right and the left cerebella compared to patients with good outcome, and the GMVs of the cerebella were correlated to 2-year headache frequencies (right: r = 0.38, P = 0.005; left: r = 0.35, P = 0.009). Structural connectivity were increased between the cerebellum and the cuneus, the calcarine cortex, and the temporal lobe, respectively, in patients with poor outcome, and was decreased between the cerebellum and the prefrontal cortex in patients with poor outcome. The structural covariance integrities between the right cerebellum and the right cuneus were correlated to 2-year headache frequencies (r = 0.36, P = 0.008).

conclusionsStructural volume and connectivity changes of the cerebellum may underlie headache persistence in patients with HFM.

Indexed as

AdultBrainCerebellumCerebral CortexDisease ProgressionFemaleGray MatterGyrus CinguliHeadacheHumansMagnetic Resonance ImagingMaleMiddle AgedMigraine DisordersPrefrontal CortexPrognosisCerebellumHigh frequencyMigraineMRIOutcome

Identifiers

PMID32188423
PMCPMC7081533

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Registered trials

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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.