Association between migraine frequency and neural response to emotional faces: An fMRI study.

Abstract:

:Previous studies have demonstrated that migraine is associated with enhanced perception and altered cerebral processing of sensory stimuli. More recently, it has been suggested that this sensory hypersensitivity might reflect a more general enhanced response to aversive emotional stimuli. Using functional magnetic resonance imaging and emotional face stimuli (fearful, happy and sad faces), we compared whole-brain activation between 41 migraine patients without aura in interictal period and 49 healthy controls. Migraine patients showed increased neural activation to fearful faces compared to neutral faces in the right middle frontal gyrus and frontal pole relative to healthy controls. We also found that higher attack frequency in migraine patients was related to increased activation mainly in the right primary somatosensory cortex (corresponding to the face area) to fearful expressions and in the right dorsal striatal regions to happy faces. In both analyses, activation differences remained significant after controlling for anxiety and depressive symptoms. These findings indicate that enhanced response to emotional stimuli might explain the migraine trigger effect of psychosocial stressors that gradually leads to increased somatosensory response to emotional clues and thus contributes to the progression or chronification of migraine.

journal_name

Neuroimage Clin

journal_title

NeuroImage. Clinical

authors

Szabó E,Galambos A,Kocsel N,Édes AE,Pap D,Zsombók T,Kozák LR,Bagdy G,Kökönyei G,Juhász G

doi

10.1016/j.nicl.2019.101790

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

101790

issn

2213-1582

pii

S2213-1582(19)30140-8

journal_volume

22

pub_type

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