Evidence map›Paper›PMID 40266360›Full record

ArticleJournal of neurology2025

Periaqueductal gray functional connectivity abnormalities associated with acute post-traumatic headache.

Simona Nikolova, Catherine Chong, Jing Li, Teresa Wu, Gina Dumkrieger, Dmitry Esterov, Katherine Ross, Amaal Starling, Aaron Thomas, Michael Leonard and 2 more

Abstract read
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Article in Journal of neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Simona NikolovaDepartment of Neurology, Mayo Clinic, 5777 East Mayo Blvd, Phoenix, AZ, 85054, USA.
Catherine ChongDepartment of Neurology, Mayo Clinic, 5777 East Mayo Blvd, Phoenix, AZ, 85054, USA.
Jing LiGeorgia Tech, School of Industrial and Systems Engineering, Atlanta, GA, USA.
Teresa WuSchool of Computing and Augmented Intelligence, Arizona State University, Tempe, AZ, USA.
Gina DumkriegerDepartment of Neurology, Mayo Clinic, 5777 East Mayo Blvd, Phoenix, AZ, 85054, USA.
Dmitry EsterovDepartment of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN, USA.
Katherine RossPhoenix VA Health Care System, Phoenix, AZ, USA.
Amaal StarlingDepartment of Neurology, Mayo Clinic, 5777 East Mayo Blvd, Phoenix, AZ, 85054, USA.
Aaron ThomasDepartment of Emergency Medicine, Mayo Clinic, Phoenix, AZ, USA.
Michael LeonardDepartment of Neurology, Mayo Clinic, 5777 East Mayo Blvd, Phoenix, AZ, 85054, USA.
Dani SmithDepartment of Neurology, Mayo Clinic, 5777 East Mayo Blvd, Phoenix, AZ, 85054, USA.
Todd J SchwedtDepartment of Neurology, Mayo Clinic, 5777 East Mayo Blvd, Phoenix, AZ, 85054, USA. Schwedt.Todd@mayo.edu.ORCID http://orcid.org/0000-0002-7780-7086

Funding

Biomarker Signature to Predict the Persistence of Post-Traumatic HeadacheR33NS113315 · NINDS · MAYO CLINIC ARIZONA · PI CHONG, CATHERINE DANIELA · 2023 to 2024
$2.1M
NINDS NIH HHS 1R61NS113315-01NINDS NIH HHS R33 NS113315U.S. Department of Defense W81XWH-19-1-0534
6 · The paper itself

Abstract

backgroundThe purpose of this study was to investigate pain network and periaqueductal gray matter (PAG) functional connectivity (FC) in participants with acute post-traumatic headache (PTH) due to mild traumatic brain injury (mTBI) compared to healthy controls (HC).

methodsNinety-eight participants with acute PTH and 85 HC underwent 3 T magnetic resonance imaging. Static FC among regions of the pain matrix and between PAG to the rest of the brain were examined. Correlations between FC and clinical parameters were investigated using linear regression. PTH outcomes (improved or not improved) were determined at 3 months post-enrollment.

resultsStronger FC between the PAG and right somatosensory and left lingual areas, and weaker FC between left thalamus and left caudate were found in the PTH group compared to HC. Whole-brain analysis showed increased PAG FC, primarily with somatosensory, motor, and occipital areas of participants with PTH relative to HC. These differences had associations with headache frequency, state anxiety, and time since mTBI. A PAG FC model for PTH improvement at 3 months had a sensitivity of 82% and a specificity of 100%. Participants with PTH who did not improve at 3 months had stronger baseline FC from the PAG to the right temporal region and the left insula relative to the improved group or to HC.

conclusionPAG FC could serve as an early biomarker identifying participants with acute PTH at risk of developing persistent PTH.

Indexed as

Brain ConcussionPeriaqueductal GrayPost-Traumatic HeadacheAdultFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedNeural PathwaysYoung AdultConcussionFunctional connectivityMagnetic resonance imagingMild traumatic brain injuryPost-traumatic headache

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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.