51. Structural changes of cerebellum and brainstem in migraine without aura
- Author
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Yue Hu, Xiao-Lei Shen, Shuai Xu, Yi-Sheng Liu, Mei-Ting Zhuang, Xin-Wei He, Shiyu Ban, Yan-Hui Shi, Jingjing Su, Jilei Zhang, Xiaoxia Du, Ge-Fei Li, Jian-Ren Liu, Jianqi Li, Zhaoxia Qin, and Rong Zhao
- Subjects
Male ,Migraine without Aura ,Cerebellum ,cerebellum ,Aura ,lcsh:Medicine ,brainstem ,03 medical and health sciences ,0302 clinical medicine ,Fractional anisotropy ,medicine ,Humans ,voxel-based morphometry ,030212 general & internal medicine ,Gray Matter ,Migraine ,business.industry ,Spinal trigeminal nucleus ,lcsh:R ,General Medicine ,Anatomy ,Voxel-based morphometry ,White Matter ,diffusion tensor images ,Diffusion Tensor Imaging ,Anesthesiology and Pain Medicine ,medicine.anatomical_structure ,nervous system ,Cerebellar peduncle ,Anisotropy ,Female ,Neurology (clinical) ,Brainstem ,Trigeminal Nucleus, Spinal ,business ,030217 neurology & neurosurgery ,Brain Stem ,Research Article ,Diffusion MRI - Abstract
Background Increasing evidence has suggested that the cerebellum is associated with pain and migraine. In addition, the descending pain system of the brainstem is the major site of trigeminal pain processing and modulation and has been discussed as a main player in the pathophysiology of migraine. Cerebellar and brainstem structural changes associated with migraineurs remain to be further investigated. Methods Voxel-based morphometry (VBM) (50 controls, 50 migraineurs without aura (MWoAs)) and diffusion tensor imaging (DTI) (46 controls, 46 MWoAs) were used to assess cerebellum and brainstem anatomical alterations associated with MWoAs. We utilized a spatially unbiased infratentorial template toolbox (SUIT) to perform cerebellum and brainstem optimized VBM and DTI analysis. We extracted the average diffusion values from a probabilistic cerebellar white matter atlas to investigate whether MWoAs exhibited microstructure alterations in the cerebellar peduncle tracts. Results MWoAs showed decreased fractional anisotropy (FA) in the vermis VI extending to the bilateral lobules V and VI of the cerebellum. We also found higher axial diffusivity (AD), mean diffusivity (MD), and radial diffusivity (RD) in the right inferior cerebellum peduncle tract in MWoAs. MWoAs exhibited both reduced gray matter volume and increased AD, MD and RD in the spinal trigeminal nucleus (SpV). Conclusion MWoAs exhibited microstructural changes in the cerebellum and the local brainstem. These structural differences might contribute to dysfunction of the transmission and modulation of noxious information, trigeminal nociception, and conduction and integration of multimodal information in MWoAs. These findings further suggest involvement of the cerebellum and the brainstem in the pathology of migraine without aura. Electronic supplementary material The online version of this article (10.1186/s10194-019-1045-5) contains supplementary material, which is available to authorized users.
- Published
- 2019