Perivascular spaces and headache: A population-based imaging study (HUNT-MRI)
Autor: | Mattias Linde, Asta Håberg, Andreas Kattem Husøy, Knut Hagen, Lars Jacob Stovner, Mari Gårseth, Marit Kristina Indergaard, Lasse-Marius Honningsvåg |
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Rok vydání: | 2015 |
Předmět: |
Male
medicine.medical_specialty Aura Population 030218 nuclear medicine & medical imaging White matter 03 medical and health sciences 0302 clinical medicine Internal medicine Epidemiology Image Interpretation Computer-Assisted medicine Humans Longitudinal Studies Perivascular space education Aged education.field_of_study medicine.diagnostic_test business.industry Headache Brain Magnetic resonance imaging Imaging study General Medicine Middle Aged medicine.disease Magnetic Resonance Imaging medicine.anatomical_structure Cross-Sectional Studies Migraine Anesthesia Female Neurology (clinical) business 030217 neurology & neurosurgery |
Zdroj: | Cephalalgia : an international journal of headache. 36(3) |
ISSN: | 1468-2982 |
Popis: | Background In four previous clinic-based MRI studies headache sufferers (in particular migraineurs) had more perivascular spaces (PVS) than individuals who were headache-free. Methods The present study was part of a large longitudinal, epidemiological study (Nord-Trøndelag Health Survey (HUNT)). The 1006 participants, age 50–65 years at inclusion, had participated in all previous HUNT surveys (1–3), and been randomly selected to a population-based imaging study of the head (HUNT-MRI, 2007–2009). The number of visible PVS in the basal ganglia (BG) and hemispheric white matter (HWM) was compared in headache sufferers (migraine with and without aura, non-migrainous headache) and people who were headache-free. Results The results showed in general small differences between headache sufferers and headache-free participants. In the cross-sectional analysis migraineurs without aura had fewer PVS than headache-free individuals in BG (OR = 0.84, 95% CI = 0.76--0.94, p value = 0.003) and in BG and HWM together (OR = 0.97, 95% CI = 0.95-1.00, p value = 0.046). No difference between long-term headache sufferers and long-term headache-free individuals with regard to number of PVS was found. Discussion In contrast to previous studies, the present large, blinded, population-based study showed no increase in number of dilated PVS among headache sufferers. Fewer PVS among those with migraine without aura may be a spurious finding. |
Databáze: | OpenAIRE |
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