Evidence map›Paper›PMID 34503441›Full record

ArticleThe journal of headache and pain2021

Enhanced functional connectivity between habenula and salience network in medication-overuse headache complicating chronic migraine positions it within the addiction disorders: an ICA-based resting-state fMRI study.

Wei Dai, Enchao Qiu, Yun Chen, Xinbo Xing, Wei Xi, Meichen Zhang, Ke Li, Lixia Tian, Zhao Dong, Shengyuan Yu

Open 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. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 20% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

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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

10 authors at 3 institutions in 1 country.

Wei Dai *Department of Neurology, Chinese PLA General Hospital, 28 Fuxing Road, 100853, Beijing, China.
Enchao Qiu *Department of Neurology, Chinese PLA General Hospital, 28 Fuxing Road, 100853, Beijing, China.
Yun ChenDepartment of Neurology, Chinese PLA General Hospital, 28 Fuxing Road, 100853, Beijing, China.
Xinbo XingDepartment of Radiology, Fourth Medical Center of Chinese PLA General Hospital, 100048, Beijing, China.
Wei XiDepartment of Radiology, Fourth Medical Center of Chinese PLA General Hospital, 100048, Beijing, China.
Meichen ZhangDepartment of Neurology, Chinese PLA General Hospital, 28 Fuxing Road, 100853, Beijing, China.
Ke LiDepartment of Neurology, Chinese PLA General Hospital, 28 Fuxing Road, 100853, Beijing, China.
Lixia TianSchool of Computer and Information Technology, Beijing Jiaotong University, 100044, Beijing, China.
Zhao DongDepartment of Neurology, Chinese PLA General Hospital, 28 Fuxing Road, 100853, Beijing, China. dong_zhaozhao@126.com.
Shengyuan YuDepartment of Neurology, Chinese PLA General Hospital, 28 Fuxing Road, 100853, Beijing, China. yushengyuan@301hospital.com.cn.
Chinese PLA General Hospital · CNPLA Academy of Military Science · CNBeijing Jiaotong University · CN

Funding

National Natural Science Foundation of China 81671077National Natural Science Foundation of China 82071226National Natural Science Foundation of China Z170002
6 · The paper itself

Abstract

backgroundMedication-overuse headache (MOH) is a relatively frequently occurring secondary headache caused by overuse of analgesics and/or acute migraine medications. It is believed that MOH is associated with dependence behaviors and substance addiction, in which the salience network (SN) and the habenula may play an important role. This study aims to investigate the resting-state (RS) functional connectivity between the habenula and the SN in patients with MOH complicating chronic migraine (CM) compared with those with episodic migraine (EM) and healthy controls (HC).

methodsRS-fMRI and 3-dimensional T1-weighted images of 17 patients with MOH + CM, 18 patients with EM and 30 matched healthy HC were obtained. The RS-fMRI data were analyzed using the independent component analysis (ICA) method to investigate the group differences of functional connectivity between the habenula and the SN in three groups. Correlation analysis was performed thereafter with all clinical variables by Pearson correlation.

resultsIncreased functional connectivity between bilateral habenula and SN was detected in patients with MOH + CM compared with patients with EM and HC respectively. Correlation analysis showed significant correlation between medication overuse duration and habenula-SN connectivity in MOH + CM patients.

conclusionsThe current study supported MOH to be lying within a spectrum of dependence and addiction disorder. The enhanced functional connectivity of the habenula with SN may correlate to the development or chronification of MOH. Furthermore, the habenula may be an indicator or treatment target for MOH for its integrative role involved in multiple aspects of MOH.

Indexed as

HabenulaHeadache Disorders, SecondaryMigraine DisordersHeadacheHumansMagnetic Resonance ImagingHabenulaMedication-overuse headacheMigraineResting-state fMRISalience network

Identifiers

PMID34503441
PMCPMC8428097
OpenAlexW3198170845

What OpenQuestion holds

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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.