Evidence map›Paper›PMID 34418951›Full record

ArticleThe journal of headache and pain2021

Investigation of cortical thickness and volume during spontaneous attacks of migraine without aura: a 3-Tesla MRI study.

Faisal Mohammad Amin, Roberto De Icco, Mohammad Al-Mahdi Al-Karagholi, Jayachandra M Raghava, Frauke Wolfram, Henrik B W Larsson, Messoud Ashina

Erratum issued Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in The journal of headache and pain, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT02202486 (Investigation of the Blood-brain and Blood-dura Barrier Durin Migraine Attacks Using MRI), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.9field-weighted citation impact, top 9% 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.

NCT02202486 unknown statusnot on this map

Investigation of the Blood-brain and Blood-dura Barrier Durin Migraine Attacks Using MRI

TypeobservationalSponsorGlostrup University Hospital, CopenhagenRan2012 to 2015Enrolled600ConditionsMigraine With Aura, Migraine Without Aura, Chronic MigraineArmsBrain MRI
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 25 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Faisal Mohammad AminDanish Headache Center, Department of Neurology, Faculty of Health and Medical Sciences, Rigshospitalet Glostrup, University of Copenhagen, Valdemar Hansens Vej 5, 2600, Glostrup, Denmark. faisal@dadlnet.dk.ORCID http://orcid.org/0000-0003-3803-3599
Roberto De IccoHeadache Science & Neurorehabilitation Center, IRCCS Mondino Foundation, Pavia, Italy.
Mohammad Al-Mahdi Al-KaragholiDanish Headache Center, Department of Neurology, Faculty of Health and Medical Sciences, Rigshospitalet Glostrup, University of Copenhagen, Valdemar Hansens Vej 5, 2600, Glostrup, Denmark.
Jayachandra M RaghavaFunctional Imaging Unit, Department of Clinical Physiology, Nuclear Medicine and PET,Faculty of Health and Medical Sciences, Rigshospitalet, University of Copenhagen, Glostrup, Denmark.
Frauke WolframDepartment of Radiology, Herlev-Gentofte Hospital, University of Copenhagen, Herlev, Denmark.
Henrik B W LarssonFunctional Imaging Unit, Department of Clinical Physiology, Nuclear Medicine and PET,Faculty of Health and Medical Sciences, Rigshospitalet, University of Copenhagen, Glostrup, Denmark.
Messoud AshinaDanish Headache Center, Department of Neurology, Faculty of Health and Medical Sciences, Rigshospitalet Glostrup, University of Copenhagen, Valdemar Hansens Vej 5, 2600, Glostrup, Denmark.
University of Copenhagen · DKUniversity of Pavia · IT

Funding

Lundbeckfonden (DK) R155-2014-171
6 · The paper itself

Abstract

backgroundStructural imaging has revealed changes in cortical thickness in migraine patients compared to healthy controls is reported, but presence of dynamic cortical and subcortical changes during migraine attack versus inter-ictal phase is unknown. The aim of the present study was to investigate possible changes in cortical thickness during spontaneous migraine attacks. We hypothesized that pain-related cortical area would be affected during the attack compared to an inter-ictal phase.

methodsTwenty-five patients with migraine without aura underwent three-dimensional T1-weighted imaging on a 3-Tesla MRI scanner during spontaneous and untreated migraine attacks. Subsequently, 20 patients were scanned in the inter-ictal phase, while 5 patients did not show up for the inter-ictal scan. Four patients were excluded from the analysis because of bilateral migraine pain and another one patient was excluded due to technical error in the imaging. Longitudinal image processing was done using FreeSurfer. Repeated measures ANOVA was used for statistical analysis and to control for multiple comparison the level of significance was set at p = 0.025.

resultsIn a total of 15 patients, we found reduced cortical thickness of the precentral (p = 0.023), pericalcarine (p = 0.024), and temporal pole (p = 0.017) cortices during the attack compared to the inter-ictal phase. Cortical volume was reduced in prefrontal (p = 0.018) and pericalcarine (p = 0.017) cortices. Hippocampus volume was increased during attack (p = 0.007). We found no correlations between the pain side or any other clinical parameters and the reduced cortical size.

conclusionSpontaneous migraine attacks are accompanied by transient reduced cortical thickness and volume in pain-related areas. The findings constitute a fingerprint of acute pain in migraine patients, which can be used as a possible biomarker to predict antimigraine treatment effect in future studies.

trial registrationThe study was registered at ClinicalTrials.gov ( NCT02202486 ).

Indexed as

Migraine without AuraHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingPainTemporal LobeCortical volumeMigraine attackMigraine brainMigraine cortexPain cortex

Identifiers

PMID34418951
PMCPMC8380396
OpenAlexW3159920644

What OpenQuestion holds

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LicenceCC BY
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.