Abstract：
OBJECTIVE:White matter hyperintensities (WMHs) were often found in migraine patients. The aim of study was to characterize WMHs, assess their prevalence, determine relationship to clinical symptoms and homocysteine levels in migraine females. METHODS:69 women 38 with migraine without aura (MO), 31 with migraine with aura (MA) who underwent brain MRI with 1.5T scanner were enrolled. The WMHs number, location and size in FLAIR sequence were evaluated. Migraine severity was measured by pain intensity, number of attacks per month and MIDAS scale. RESULTS:WMHs were found in 39.1% females. There was no WMHs and migraine type correlation. The total WMHs number was higher in MO (p=0.027). Patients with WMHs were older (p=0.025), have higher BMI (p=0.042), suffered longer (p=0.001), more often had positive pregnancy history (p=0.010) and less frequent prodromal symptoms. The age of onset, migraine's severity and homocysteine did not correlate with WMHs. No effect of antimigraine medication and oral contraceptive pills (OCP) was found. Both in MO and MA groups WMHs were located only supratentorially. In MO females WMHs were mainly located in one cerebral hemisphere (p=0.024) whereas in MA were found bilaterally. WMHs were most commonly located in the frontal lobes. In MO lesions were small ≤3mm and present in almost all MO patients (p=0.027). CONCLUSION:WMHs are present in more than one third of migraine females, regardless of aura. WHMs are located supratentorially, subcortically and in the frontal lobes. Older age, longer disease's duration, obesity and positive history of pregnancy are main risk factors for WMHs. Symptomatology and migraine severity, hyperhomocysteinemia, OCP and anti-migraine medications do not increase WMHs.
journal_name
Neurol Neurochir Poljournal_title
Neurologia i neurochirurgia polskaauthors
Rościszewska-Żukowska I,Zając-Mnich M,Janik Pdoi
10.1016/j.pjnns.2018.09.007subject
Has Abstractpub_date
2018-01-01 00:00:00pages
695-703issue
6eissn
0028-3843issn
1897-4260pii
S0028-3843(18)30005-7journal_volume
52pub_type
杂志文章abstract：:The authors describe a case of spinal intracanal cysticercosis. The cysts were situated intradurally, provoking radicular symptoms: pain, paresis. CT investigations showed herniation of discs L4/L5 and L5/S1 interpreted as the cause of the mentioned symptoms. Surgical treatment included discectomy L4/L5 and L5/S1. Rec...
journal_title：Neurologia i neurochirurgia polska
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journal_title：Neurologia i neurochirurgia polska
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journal_title：Neurologia i neurochirurgia polska
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journal_title：Neurologia i neurochirurgia polska
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journal_title：Neurologia i neurochirurgia polska
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journal_title：Neurologia i neurochirurgia polska
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journal_title：Neurologia i neurochirurgia polska
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journal_title：Neurologia i neurochirurgia polska
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journal_title：Neurologia i neurochirurgia polska
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