Evidence map›Paper›PMID 40270950›Full record

ReviewAIMS neuroscience2025

Dissecting the Circle of Willis-Migraine connection: A review.

Jad El Choueiri, Leonardo Di Cosmo, Francesca Pellicanò, Francesca Romana Centini

Abstract readReview
In one paragraph

Review in AIMS neuroscience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Jad El ChoueiriHumanitas University, Department of Biomedical Sciences Via Rita Levi Montalcini, 4, 20072 Pieve Emanuele Milano, Italy.
Leonardo Di CosmoHumanitas University, Department of Biomedical Sciences Via Rita Levi Montalcini, 4, 20072 Pieve Emanuele Milano, Italy.
Francesca PellicanòHumanitas University, Department of Biomedical Sciences Via Rita Levi Montalcini, 4, 20072 Pieve Emanuele Milano, Italy.
Francesca Romana CentiniHumanitas University, Department of Biomedical Sciences Via Rita Levi Montalcini, 4, 20072 Pieve Emanuele Milano, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Anatomical variations in the Circle of Willis (CoW) may mediate the prevalence of migraines with aura (MWA) and without aura (MWoA) in patients. The aim of this review is to describe and evaluate contrasting studies to clarify the current understanding of this association within the literature. Methods: A comprehensive search across PubMed, Google Scholar, and the Cochrane Library resulted in 10 relevant studies that met our selection criteria and examined the association between the CoW and migraine prevalence. Results: Conflicting results were reported across the prospective and retrospective studies, which varied among different populations and the inclusion classification of CoW variants. Studies that evaluated posterior CoW variations repeatedly reported differential associations between migraines with aura (MWA) and without aura (MWoA), thus revealing a significant association only with the former. Two mechanisms of actions were hypothesized to be attributed to such associations; one hypothesized a resultant cerebral hypovascularization, whilst the other emphasized the role of shear stress in associated small arteries. Discussion: While some studies reported significant associations between specific CoW variations and migraines, particularly with the posterior CoW variations and MWA, conflicting evidence emphasizes the necessity for further investigations to provide a greater understanding between CoW variations and different migraine subtypes. A consensus calls for future studies to include larger samples over various ethnic populations to overcome the biases encountered within the current field of literature.

Indexed as

cerebral vascularizationCircle of Willismigraine with auramigraine without aura

Identifiers

PMID40270950
PMCPMC12011984

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.