Evidence map›Paper›PMID 32239542›Full record

ArticleAnnals of neurology2020

Extra-Axial Inflammatory Signal in Parameninges in Migraine with Visual Aura.

Nouchine Hadjikhani, Daniel S Albrecht, Caterina Mainero, Eri Ichijo, Noreen Ward, Cristina Granziera, Nicole R Zürcher, Oluwaseun Akeju, Guillaume Bonnier, Julie Price and 5 more

Open access · greenAbstract read
In one paragraph

Article in Annals of neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 2 pooled it
9.8field-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.

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

67 citing papers in PubMed, 2 syntheses or guidelines pooled it, 127 citations in OpenAlex.

  1. Pooled it
  2. Imaging the inflammatory phenotype in migraine.The journal of headache and pain · 2022
    Pooled it
  3. Trial
  4. Article
  5. Article
  6. Review
  7. [BMC neurology · 2026
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Article
  17. Evidence for brain glial activity in chronic migraine patients: a [European journal of nuclear medicine and molecular imaging · 2025
    Article
  18. Article
  19. Article
  20. Article

7 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

15 authors at 1 institution in 1 country.

Nouchine HadjikhaniMassachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA.ORCID 0000-0003-4075-3106
Daniel S AlbrechtMassachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA.ORCID 0000-0002-0881-9913
Caterina MaineroMassachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA.
Eri IchijoMassachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA.ORCID 0000-0003-3314-2550
Noreen WardMassachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA.
Cristina GranzieraMassachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA.
Nicole R ZürcherMassachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA.
Oluwaseun AkejuMassachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA.
Guillaume BonnierMassachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA.
Julie PriceMassachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA.
Jacob M HookerMassachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA.
Vitaly NapadowMassachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA.
Matthias NahrendorfMassachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA.
Marco L LoggiaMassachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA.
Michael A MoskowitzMassachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA.
Harvard University · US

Funding

Core NIBSP01AT009965 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI ROSEN, BRUCE R · 2018 to 2023
$10.9M
In-vivo imaging of spinal and brain glial activation in low back pain patientsR01NS095937 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI LOGGIA, MARCO LUCIANO · 2016 to 2020
$3.5M
Skull marrow crosstalk with the central nervous systemR01NS108419 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI MOSKOWITZ, MICHAEL A., NAHRENDORF, MATTHIAS · 2018 to 2022
$3.4M
Cortical mechanisms of disease progression in early multiple sclerosisR01NS078322 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI MAINERO, CATERINA · 2013 to 2017
$1.9M
PET-MR Investigation of Microglial Activation in MigraineR21NS082926 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI HADJIKHANI, NOUCHINE · 2014 to 2015
$475k
NCCIH NIH HHS P01 AT009965NINDS NIH HHS R01 NS078322NINDS NIH HHS R01 NS095937NINDS NIH HHS R01 NS108419NINDS NIH HHS R21 NS082926
6 · The paper itself

Abstract

objectiveCortical spreading depression (CSD) underlies the neurobiology of migraine with aura (MWA). Animal studies reveal networks of microvessels linking brain-meninges-bone marrow. CSD activates the trigeminovascular system, evoking a meningeal inflammatory response. Accordingly, this study examines the upregulation of an inflammatory marker in extra-axial tissues in migraine with visual aura.

methodsWe used simultaneously acquired

resultsMWA had significantly higher mean SUVR in PMT overlying occipital cortex than both other groups, although not in the PMT overlying 3 other cortical areas. A positive correlation was also found between the number of visual auras and tracer uptake in occipital PMT.

interpretationA strong persistent extra-axial inflammatory signal was found in meninges and calvarial bone overlying the occipital lobe in migraine with visual auras. Our findings are reminiscent of CSD-induced meningeal inflammation and provide the first imaging evidence implicating inflammation in the pathophysiology of migraine meningeal symptoms. We suspect that this inflammatory focus results from a signal that migrates from underlying brain and if so, may implicate newly discovered bridging vessels that crosstalk between brain and skull marrow, a finding of potential relevance to migraine and other neuroinflammatory brain disorders. ANN NEUROL 2020;87:939-949.

Indexed as

AdolescentAdultAgedCortical Spreading DepressionFemaleHumansImage Processing, Computer-AssistedInflammationMagnetic Resonance ImagingMaleMeningesMiddle AgedMigraine with AuraMultimodal ImagingOccipital LobePositron-Emission Tomography

Identifiers

PMID32239542
PMCPMC7313427
OpenAlexW3014162107

What OpenQuestion holds

Textmetadata
LicenceTDM
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.