Heterogenous migraine aura symptoms correlate with visual cortex functional magnetic resonance imaging responses.

Abstract:

OBJECTIVE:Migraine aura is sparsely studied due to the highly challenging task of capturing patients during aura. Cortical spreading depression (CSD) is likely the underlying phenomenon of aura. The possible correlation between the multifaceted phenomenology of aura symptoms and the effects of CSD on the brain has not been ascertained. METHODS:Five migraine patients were studied during various forms of aura symptoms induced by hypoxia, sham hypoxia, or physical exercise with concurrent photostimulation. The blood oxygenation level-dependent (BOLD) functional magnetic resonance imaging (fMRI) signal response to visual stimulation was measured in retinotopic mapping-defined visual cortex areas V1 to V4. RESULTS:We found reduced BOLD response in patients reporting scotoma and increased response in patients who only experienced positive symptoms. Furthermore, patients with bilateral visual symptoms had corresponding bihemispherical changes in BOLD response. INTERPRETATION:These findings suggest that different aura symptoms reflect different types of cerebral dysfunction, which correspond to specific changes in BOLD signal reactivity. Furthermore, we provide evidence of bilateral CSD recorded by fMRI during bilateral aura symptoms. Ann Neurol 2017;82:925-939.

journal_name

Ann Neurol

journal_title

Annals of neurology

authors

Arngrim N,Hougaard A,Ahmadi K,Vestergaard MB,Schytz HW,Amin FM,Larsson HBW,Olesen J,Hoffmann MB,Ashina M

doi

10.1002/ana.25096

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

925-939

issue

6

eissn

0364-5134

issn

1531-8249

journal_volume

82

pub_type

杂志文章
  • Hippocampal or neocortical lesions on magnetic resonance imaging do not necessarily indicate site of ictal onsets in partial epilepsy.

    abstract::Advances in neuroimaging techniques, particularly high-resolution magnetic resonance imaging (MRI), have proved invaluable in identifying structural brain lesions in patients with epilepsy. The assumption that such focal lesions invariably predict the site of seizure origin may not be correct, however. We report a ser...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/1531-8249(199904)45:4<461::aid-ana7>3.0.co

    authors: Holmes MD,Wilensky AJ,Ojemann GA,Ojemann LM

    更新日期:1999-04-01 00:00:00

  • Human leukocyte antigen studies in multiple sclerosis.

    abstract::Multiple sclerosis (MS) has been associated with HLA-DR2 for more than 20 years, and a large number of studies have addressed the relation between MS and the HLA class II genes, which are our major immune-response genes. This has produced a complex and confusing picture that is difficult to interpret. With the advent ...

    journal_title:Annals of neurology

    pub_type: 杂志文章,评审

    doi:10.1002/ana.410360706

    authors: Hillert J

    更新日期:1994-01-01 00:00:00

  • Prediction of intracerebral hemorrhage survival.

    abstract::The Pilot Stroke Data Bank obtained information on 94 patients with intracerebral hemorrhage. These data were used to identify factors predictive of 30-day outcome from among 85 demographic, historical, clinical, and laboratory variables generally available to clinicians on the day of admission. The 9 univariate facto...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410240213

    authors: Tuhrim S,Dambrosia JM,Price TR,Mohr JP,Wolf PA,Heyman A,Kase CS

    更新日期:1988-08-01 00:00:00

  • Congenital fiber type disproportion in identical twins.

    abstract::Eighteen-month-old identical twins with the muscle histological characteristics of congenital fiber type disproportion are reported. The fiber typing system of pH-dependent adenosine triphosphatase was used to analyze the size and percentage of type 1, 2A, and 2B fibers in muscle tissue obtained by needle biopsy. Both...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410020603

    authors: Curless RG,Nelson MB

    更新日期:1977-12-01 00:00:00

  • Childhood socioeconomic status and adult brain size: childhood socioeconomic status influences adult hippocampal size.

    abstract:OBJECTIVE:To investigate in older adults without dementia the relationships between socioeconomic status (SES) in childhood and magnetic resonance imaging (MRI)-derived brain volume measures typical of brain aging and Alzheimer's disease (AD). METHODS:Using a cross-sectional and longitudinal observation approach, we i...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.22631

    authors: Staff RT,Murray AD,Ahearn TS,Mustafa N,Fox HC,Whalley LJ

    更新日期:2012-05-01 00:00:00

  • Soluble ST2 links inflammation to outcome after subarachnoid hemorrhage.

    abstract:OBJECTIVE:To investigate whether soluble growth stimulation expressed gene 2 (sST2), a prognostic marker in cardiovascular and inflammatory disorders, is associated with neurological injury after aneurysmal subarachnoid hemorrhage (SAH). METHODS:We studied SAH patients from 2 independent cohorts. Outcome assessments i...

    journal_title:Annals of neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1002/ana.25545

    authors: Bevers MB,Wolcott Z,Bache S,Hansen C,Sastre C,Mylvaganam R,Koch MJ,Patel AB,Møller K,Kimberly WT

    更新日期:2019-09-01 00:00:00

  • Dopamine D2 receptor density remains constant in treated Parkinson's disease.

    abstract::D2 dopamine receptor densities were measured in postmortem samples of the caudate nucleus and putamen from 36 parkinsonian patients. The relationship between the age of the patient, duration of the disease, and duration of L-dopa therapy versus density of brain D2 dopamine receptors was examined using [3H]spiperone. R...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410190510

    authors: Guttman M,Seeman P,Reynolds GP,Riederer P,Jellinger K,Tourtellotte WW

    更新日期:1986-05-01 00:00:00

  • Complex segregation analysis of Parkinson's disease: The Mayo Clinic Family Study.

    abstract:OBJECTIVE:To conduct complex segregation analyses of Parkinson's disease (PD). METHODS:Data on the familial aggregation of PD remain conflicting. We conducted a historical cohort study of 1,234 relatives of 162 patients with PD representative of people of Olmsted County, MN, and of 3,009 relatives of 411 patients with...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.20844

    authors: McDonnell SK,Schaid DJ,Elbaz A,Strain KJ,Bower JH,Ahlskog JE,Maraganore DM,Rocca WA

    更新日期:2006-05-01 00:00:00

  • Benzodiazepine receptors in focal epilepsy with cortical dysgenesis: an 11C-flumazenil PET study.

    abstract::Previous imaging studies using 11C-flumazenil in patients with mesial temporal lobe epilepsy and neocortical partial seizure disorders have found focal decreases in gamma-aminobutyric acid type A/benzodiazepine receptor binding. These studies used subjective visual assessment and a region of interest approach to quant...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410400210

    authors: Richardson MP,Koepp MJ,Brooks DJ,Fish DR,Duncan JS

    更新日期:1996-08-01 00:00:00

  • Hypoglycemia alters striatal amino acid efflux in perinatal rats: an in vivo microdialysis study.

    abstract::In adult brain, during insulin-induced hypoglycemia, striatal extracellular fluid concentrations of the excitatory amino acids glutamate and aspartate rise markedly (fourfold to tenfold). In this study, we used in vivo microdialysis to determine if insulin-induced hypoglycemia altered striatal amino acid efflux in sim...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410280408

    authors: Silverstein FS,Simpson J,Gordon KE

    更新日期:1990-10-01 00:00:00

  • Inflammatory intrathecal profiles and cortical damage in multiple sclerosis.

    abstract:OBJECTIVE:Gray matter (GM) damage and meningeal inflammation have been associated with early disease onset and a more aggressive disease course in multiple sclerosis (MS), but can these changes be identified in the patient early in the disease course? METHODS:To identify possible biomarkers linking meningeal inflammat...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.25197

    authors: Magliozzi R,Howell OW,Nicholas R,Cruciani C,Castellaro M,Romualdi C,Rossi S,Pitteri M,Benedetti MD,Gajofatto A,Pizzini FB,Montemezzi S,Rasia S,Capra R,Bertoldo A,Facchiano F,Monaco S,Reynolds R,Calabrese M

    更新日期:2018-04-01 00:00:00

  • Evidence that nuclear factor IA inhibits repair after white matter injury.

    abstract:OBJECTIVE:Chronic demyelination can result in axonopathy and is associated with human neurological conditions such as multiple sclerosis (MS) in adults and cerebral palsy in infants. In these disorders, myelin regeneration is inhibited by impaired differentiation of oligodendrocyte progenitors into myelin-producing oli...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.23590

    authors: Fancy SP,Glasgow SM,Finley M,Rowitch DH,Deneen B

    更新日期:2012-08-01 00:00:00

  • Free amino acid levels in amyotrophic lateral sclerosis.

    abstract::To evaluate reports of abnormal levels of free amino acids (AA) in patients with amyotrophic lateral sclerosis (ALS), we studied serum, cerebrospinal fluid, and urine AA in 12 patients with ALS and 12 controls matched for age, sex, and severity of disability. ALS patients had statistically significant elevations in se...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410030405

    authors: Patten BM,Harati Y,Acosta L,Jung SS,Felmus MT

    更新日期:1978-04-01 00:00:00

  • Idiopathic childhood stroke is associated with human leukocyte antigen (HLA)-B51.

    abstract::We report four children with idiopathic stroke syndromes who were assayed for human leukocyte antigen (HLA) class I markers and found to have HLA-B51 in common. This finding suggests that there may be a genetic predisposition for "idiopathic" childhood stroke, and host factors, possibly in concert with environmental f...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410310618

    authors: Mintz M,Epstein LG,Koenigsberger MR

    更新日期:1992-06-01 00:00:00

  • Intravenous thrombolysis for suspected ischemic stroke with seizure at onset.

    abstract:OBJECTIVE:Seizure at onset (SaO) has been considered a relative contraindication for intravenous thrombolysis (IVT) in patients with acute ischemic stroke, although this appraisal is not evidence based. Here, we investigated the prognostic significance of SaO in patients treated with IVT for suspected ischemic stroke. ...

    journal_title:Annals of neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1002/ana.25582

    authors: Polymeris AA,Curtze S,Erdur H,Hametner C,Heldner MR,Groot AE,Zini A,Béjot Y,Dietrich A,Martinez-Majander N,von Rennenberg R,Gumbinger C,Schaedelin S,De Marchis GM,Thilemann S,Traenka C,Lyrer PA,Bonati LH,Wegener S,R

    更新日期:2019-11-01 00:00:00

  • Adaptive cortical plasticity in higher visual areas after acute optic neuritis.

    abstract::The ability to distinguish adaptive cortical reorganization may help to target future therapeutic strategies after neurological insult. We investigated cortical plasticity by prospectively applying visual functional magnetic resonance imaging (fMRI) and optic nerve MRI to 20 patients with acute optic neuritis at basel...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.20448

    authors: Toosy AT,Hickman SJ,Miszkiel KA,Jones SJ,Plant GT,Altmann DR,Barker GJ,Miller DH,Thompson AJ

    更新日期:2005-05-01 00:00:00

  • Interleukin-6 genotype and risk for cerebral palsy in term and near-term infants.

    abstract:OBJECTIVE:Chorioamnionitis is associated with increased risk for cerebral palsy (CP) in term infants. A functional polymorphism in the interleukin-6 (IL-6) gene has been implicated in newborn brain injury. We studied whether the IL-6 -174 G/C polymorphism confers increased risk for CP in term infants. METHODS:This pop...

    journal_title:Annals of neurology

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/ana.21766

    authors: Wu YW,Croen LA,Torres AR,Van De Water J,Grether JK,Hsu NN

    更新日期:2009-11-01 00:00:00

  • Point-of-care reversal treatment in phenprocoumon-related intracerebral hemorrhage.

    abstract:OBJECTIVE:Rapid reversal of the anticoagulatory effect of vitamin K antagonists represents the primary emergency treatment for oral anticoagulant-related intracerebral hemorrhage (OAC-ICH). Predicting the amount of prothrombin complex concentrate (PCC) needed to reverse OAC in individual patients is difficult, and repe...

    journal_title:Annals of neurology

    pub_type: 临床试验,杂志文章

    doi:10.1002/ana.21965

    authors: Rizos T,Jenetzky E,Herweh C,Hug A,Hacke W,Steiner T,Veltkamp R

    更新日期:2010-06-01 00:00:00

  • Magnetic resonance cerebral metabolic rate of oxygen utilization in hyperacute stroke patients.

    abstract::The purpose of this study was to explore the feasibility of obtaining magnetic resonance-measured cerebral metabolic rate of oxygen utilization (MR-CMRO(2)) in acute ischemic stroke patients. Seven stroke patients were serially imaged: 4.5 +/- 0.9 hours (tp1), 3 to 5 days (tp2), and 1 to 3 months (tp3) after symptom o...

    journal_title:Annals of neurology

    pub_type: 临床试验,杂志文章

    doi:10.1002/ana.10433

    authors: Lee JM,Vo KD,An H,Celik A,Lee Y,Hsu CY,Lin W

    更新日期:2003-02-01 00:00:00

  • Role of CD8+ CD25+ Foxp3+ regulatory T cells in multiple sclerosis.

    abstract:OBJECTIVE:The objective of this study was to investigate the role of CD8+ CD25+ FoxP3+ cells during the course of multiple sclerosis (MS). METHODS:Peripheral blood and cerebrospinal fluid (CSF) CD8+ T-cell clones (TCCs) recognizing autoreactive CD4+ T cells were isolated from 20 MS patients during exacerbations, 15 pa...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.21944

    authors: Correale J,Villa A

    更新日期:2010-05-01 00:00:00

  • A 30-Year Clinical and Magnetic Resonance Imaging Observational Study of Multiple Sclerosis and Clinically Isolated Syndromes.

    abstract:OBJECTIVE:Clinical outcomes in multiple sclerosis (MS) are highly variable. We aim to determine the long-term clinical outcomes in MS, and to identify early prognostic features of these outcomes. METHODS:One hundred thirty-two people presenting with a clinically isolated syndrome were prospectively recruited between 1...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.25637

    authors: Chung KK,Altmann D,Barkhof F,Miszkiel K,Brex PA,O'Riordan J,Ebner M,Prados F,Cardoso MJ,Vercauteren T,Ourselin S,Thompson A,Ciccarelli O,Chard DT

    更新日期:2020-01-01 00:00:00

  • Amyotrophic lateral sclerosis: Problems and prospects.

    abstract::Amyotrophic lateral sclerosis (ALS) is a lethal degenerative disorder of motoneurons, which may occur concurrently with frontotemporal dementia. Genetic analyses of the ∼10% of ALS cases that are dominantly inherited provide insight into ALS pathobiology. Two broad themes are evident. One, prompted by investigations o...

    journal_title:Annals of neurology

    pub_type: 杂志文章,评审

    doi:10.1002/ana.24012

    authors: Sreedharan J,Brown RH Jr

    更新日期:2013-09-01 00:00:00

  • Antioxidants halt axonal degeneration in a mouse model of X-adrenoleukodystrophy.

    abstract:OBJECTIVE:Axonal degeneration is a main contributor to disability in progressive neurodegenerative diseases in which oxidative stress is often identified as a pathogenic factor. We aim to demonstrate that antioxidants are able to improve axonal degeneration and locomotor deficits in a mouse model of X-adrenoleukodystro...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.22363

    authors: López-Erauskin J,Fourcade S,Galino J,Ruiz M,Schlüter A,Naudi A,Jove M,Portero-Otin M,Pamplona R,Ferrer I,Pujol A

    更新日期:2011-07-01 00:00:00

  • Syncope: a videometric analysis of 56 episodes of transient cerebral hypoxia.

    abstract::To investigate the clinical features of transient cerebral hypoxia, syncope was induced in 56 of 59 healthy volunteers through a sequence of hyperventilation, orthostasis, and Valsalva maneuver. All events were monitored on video by two cameras. Complete syncope with falling and loss of consciousness was observed in 4...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410360217

    authors: Lempert T,Bauer M,Schmidt D

    更新日期:1994-08-01 00:00:00

  • Physiology of hypokinetic and hyperkinetic movement disorders: model for dyskinesia.

    abstract::Although the basal ganglia have been implicated in the development of movement disorders since the 1940s, the exact role played by these structures has remained elusive. The development of the 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine-monkey model of parkinsonism, and the recent resurgence of surgical therapy for t...

    journal_title:Annals of neurology

    pub_type: 杂志文章,评审

    doi:

    authors: Vitek JL,Giroux M

    更新日期:2000-04-01 00:00:00

  • Clinical and magnetic resonance imaging findings in Batten disease: analysis of the major mutation (1.02-kb deletion).

    abstract::A total of 36 patients with Batten disease (juvenile-onset neuronal ceroid lipofuscinosis), homozygous or heterozygous for the major mutation, a 1.02-kb deletion, in the CLN3 gene, were studied to relate their genotype to their clinical phenotype. The onset of visual failure and epilepsy was highly concordant in both ...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410420517

    authors: Järvelä I,Autti T,Lamminranta S,Aberg L,Raininko R,Santavuori P

    更新日期:1997-11-01 00:00:00

  • Sensorimotor disinhibition in Parkinson's disease: effects of levodopa.

    abstract::It has been known for some time that patients with Parkinson's disease (PD) have difficulty executing simultaneous motor acts, yet the pathophysiology underlying this impairment remains uncertain. We examined the possibility that these dual-task deficits stem from defective sensorimotor mechanisms producing interferen...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410310110

    authors: Caligiuri MP,Heindel WC,Lohr JB

    更新日期:1992-01-01 00:00:00

  • Acne fulminans with inflammatory myopathy.

    abstract::An 18-year-old man with acne fulminans developed an acute inflammatory myositis, an association not previously reported. The condition resolved with treatment using systemic corticosteroids. ...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410080110

    authors: Noseworthy JH,Heffernan LP,Ross JB,Sangalang VE

    更新日期:1980-07-01 00:00:00

  • Multiple sclerosis: immune mechanism and update on current therapies.

    abstract::Multiple sclerosis (MS) is a demyelinating disease of the central nervous system (CNS) afflicting approximately 250,000 individuals in the United States. This inflammatory disease has variable clinical manifestations, ranging from a relapsing-remitting course to a chronic progressive disease. Approximately one third o...

    journal_title:Annals of neurology

    pub_type: 杂志文章,评审

    doi:10.1002/ana.410370710

    authors: Bansil S,Cook SD,Rohowsky-Kochan C

    更新日期:1995-05-01 00:00:00

  • What hope for repair of the brain?

    abstract::The consequences of axonal injuries in the adult nervous system depend on the location of the axons: complete anatomical and functional repair can occur in the peripheral but not the central nervous system. A quantitative electron microscopical comparison of the reactions to axonal injuries in a peripheral site (the s...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410030203

    authors: Raisman G

    更新日期:1978-02-01 00:00:00