Hyperconnection and hyperperfusion of overlapping brain regions in patients with menstrual-related migraine: a multimodal neuroimaging study.

Purpose: Menstrual-related migraine (MRM) results in moderate to severe intensity headaches accompanied by physical and emotional disability over time in women. Neuroimaging methodologies have advanced our understanding of migraine; however, the neural mechanisms of MRM are not clearly understood. M...

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Published in:Neuroradiology Vol. 63; no. 5; pp. 741 - 750
Main Authors: Li, Xinyu, Khan, Ahsan, Li, Yingying, Chen, Diansen, Yang, Jing, Zhan, Haohui, Du, Ganqin, Xu, Jin, Lou, Wutao, Tong, Raymond Kai-yu
Format: diagnostic images research tables/charts Journal Article
Published: Springer Nature May2021
Online Access:View this record in EBSCOhost
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      dt: May2021
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00234-020-02623-5
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        atl: Hyperconnection and hyperperfusion of overlapping brain regions in patients with menstrual-related migraine: a multimodal neuroimaging study.
      aug:
        au:
          Li, Xinyu
          Khan, Ahsan
          Li, Yingying
          Chen, Diansen
          Yang, Jing
          Zhan, Haohui
          Du, Ganqin
          Xu, Jin
          Lou, Wutao
          Tong, Raymond Kai-yu
        affil: Imaging Center, The First Affiliated Hospital, College of Clinical Medicine of Henan University of Science and Technology, Luoyang, China
      sug:
        subj:
          Functional Connectivity
          Cerebrovascular Disorders
          Brain Physiopathology
          Menstruation
          Migraine Etiology
          Migraine Physiopathology
          Neuroradiography
          Human
          Female
          Magnetic Resonance Imaging Methods
          Menstrual Cycle
          Brain Mapping
          Cerebrovascular Circulation Evaluation
          Magnetic Resonance Angiography
          Descriptive Statistics
          Disease Duration
          Severity of Illness
          Chronic Pain
          Headache
          Emotions
          Women
          Neural Pathways
          Female
      ab: Purpose: Menstrual-related migraine (MRM) results in moderate to severe intensity headaches accompanied by physical and emotional disability over time in women. Neuroimaging methodologies have advanced our understanding of migraine; however, the neural mechanisms of MRM are not clearly understood. Methods: In this study, fourteen MRM patients in the interictal phase and fifteen age- and education-matched healthy control females were recruited. Resting-state functional magnetic resonance imaging (fMRI) and pulsed arterial spin labeling (PASL) MRI were collected for both the subject groups outside of their menstrual periods. Eigenvector centrality mapping (ECM) was performed on resting-state fMRI, and the relative cerebral blood flow (relCBF) was assessed using PASL-MRI. Results: MRM patients showed a significantly increased eigenvector centrality in the right medial frontal gyrus compared to healthy controls. Seed-based ECM analysis revealed that increased centrality was associated with the right medial frontal gyrus's hyperconnectivity with the left insula and the right supplementary motor area. The perfusion MRI revealed significantly increased relCBF in the hyperconnected regions. Furthermore, the hyperconnection positively correlated with the attack frequency, while the hyperperfusion showed a positive correlation with the disease duration. Conclusion: The results suggest that menstrual-related migraine is associated with cerebral hyperconnection and hyperperfusion in critical pain-processing brain regions. Furthermore, this elevated cerebral activity is correlated with different aspects of functional impairment in MRM patients suggesting that perfusion analysis, along with whole-brain connectivity analysis, can provide a comprehensive understanding of neural mechanisms of MRM.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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