Thalamo-cortical networks in subtypes of migraine with aura patients.


Journal

The journal of headache and pain
ISSN: 1129-2377
Titre abrégé: J Headache Pain
Pays: England
ID NLM: 100940562

Informations de publication

Date de publication:
19 Jun 2021
Historique:
received: 26 04 2021
accepted: 01 06 2021
entrez: 20 6 2021
pubmed: 21 6 2021
medline: 23 6 2021
Statut: epublish

Résumé

We searched for differences in resting-state functional connectivity (FC) between brain networks and its relationship with the microstructure of the thalamus between migraine with pure visual auras (MA), and migraine with complex neurological auras (MA+), i.e. with the addition of at least one of sensory or language symptom. 3T MRI data were obtained from 20 patients with MA and 15 with MA + and compared with those from 19 healthy controls (HCs). We collected resting state data among independent component networks. Diffusivity metrics of bilateral thalami were calculated and correlated with resting state ICs-Z-scores. As compared to HCs, both patients with MA and MA + disclosed disrupted FC between the default mode network (DMN) and the right dorsal attention system (DAS). The MA + subgroup had lower microstructural metrics than both HCs and the MA subgroup, which correlated negatively with the strength of DMN connectivity. Although the microstructural metrics of MA patients did not differ from those of HCs, these patients lacked the correlation with the strength of DAS connectivity found in HCs. The present findings suggest that, as far as MRI profiles are concerned, the two clinical phenotypes of migraine with aura have both common and distinct morpho-functional features of nodes in the thalamo-cortical network.

Sections du résumé

BACKGROUND BACKGROUND
We searched for differences in resting-state functional connectivity (FC) between brain networks and its relationship with the microstructure of the thalamus between migraine with pure visual auras (MA), and migraine with complex neurological auras (MA+), i.e. with the addition of at least one of sensory or language symptom.
METHODS METHODS
3T MRI data were obtained from 20 patients with MA and 15 with MA + and compared with those from 19 healthy controls (HCs). We collected resting state data among independent component networks. Diffusivity metrics of bilateral thalami were calculated and correlated with resting state ICs-Z-scores.
RESULTS RESULTS
As compared to HCs, both patients with MA and MA + disclosed disrupted FC between the default mode network (DMN) and the right dorsal attention system (DAS). The MA + subgroup had lower microstructural metrics than both HCs and the MA subgroup, which correlated negatively with the strength of DMN connectivity. Although the microstructural metrics of MA patients did not differ from those of HCs, these patients lacked the correlation with the strength of DAS connectivity found in HCs.
CONCLUSIONS CONCLUSIONS
The present findings suggest that, as far as MRI profiles are concerned, the two clinical phenotypes of migraine with aura have both common and distinct morpho-functional features of nodes in the thalamo-cortical network.

Identifiants

pubmed: 34147064
doi: 10.1186/s10194-021-01272-0
pii: 10.1186/s10194-021-01272-0
pmc: PMC8214259
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

58

Subventions

Organisme : Italian Ministry of Health
ID : Italian Ministry of Health
Organisme : Fondazione Roma
ID : Fondazione Roma

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Auteurs

Gianluca Coppola (G)

Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome Polo Pontino, Corso della Repubblica 79, 04100, Latina, Italy. gianluca.coppola@uniroma1.it.

Antonio Di Renzo (A)

IRCCS - Fondazione Bietti, Rome, Italy.

Emanuele Tinelli (E)

Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy.

Barbara Petolicchio (B)

Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy.

Vincenzo Parisi (V)

IRCCS - Fondazione Bietti, Rome, Italy.

Mariano Serrao (M)

Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome Polo Pontino, Corso della Repubblica 79, 04100, Latina, Italy.

Camillo Porcaro (C)

Institute of Cognitive Sciences and Technologies (ISTC) - National Research Council (CNR), Rome, Italy.
S. Anna Institute and Research in Advanced Neurorehabilitation (RAN), Crotone, Italy.

Marco Fiorelli (M)

Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy.

Francesca Caramia (F)

Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy.

Jean Schoenen (J)

Headache Research Unit, University Department of Neurology CHR, Citadelle Hospital, University of Liège, Liège, Belgium.

Vittorio Di Piero (V)

Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy.

Francesco Pierelli (F)

Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome Polo Pontino, Corso della Repubblica 79, 04100, Latina, Italy.
IRCCS - Neuromed, Pozzilli, IS, Italy.

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