Kuan-Lin Lai1, Kwong-Kum Liao, Jong-Ling Fuh, Shuu-Jiun Wang. 1. Department of Neurology, Taipei Municipal Gandau Hospital, and Department of Neurology, National Yang-Ming University School of Medicine, Taipei, Taiwan.
Abstract
OBJECTIVE: An abnormal central nervous system excitability level was found in patients with migraine. Whether it is hyper- or hypo-excitable is still debated. This study aimed to compare the somatosensory high-frequency oscillations (HFOs), which reflected subcortical excitability (early phase) and intracortical inhibition (late phase), between patients with migraine and control subjects. METHODS: HFOs were recorded from C3'-Fz, using a 500-1000 Hz frequency filter after stimulation at right median nerves at the wrists, and divided into early and late phases based on the N20 peak. Fifty-nine untreated patients (n=24 during ictal period; n=35, interictal) and 22 controls finished the study. RESULTS: In early HFOs, patients both during ictal and interictal periods had higher maximal amplitudes (p=0.039) and area-under-curve (p=0.029) than those of the controls. Regarding the late HFOs, there were no significant differences among these groups. CONCLUSION: Our study suggests a hyper-excitable state in the subcortical regions in patients with migraine both during interictal and ictal periods.
OBJECTIVE: An abnormal central nervous system excitability level was found in patients with migraine. Whether it is hyper- or hypo-excitable is still debated. This study aimed to compare the somatosensory high-frequency oscillations (HFOs), which reflected subcortical excitability (early phase) and intracortical inhibition (late phase), between patients with migraine and control subjects. METHODS: HFOs were recorded from C3'-Fz, using a 500-1000 Hz frequency filter after stimulation at right median nerves at the wrists, and divided into early and late phases based on the N20 peak. Fifty-nine untreated patients (n=24 during ictal period; n=35, interictal) and 22 controls finished the study. RESULTS: In early HFOs, patients both during ictal and interictal periods had higher maximal amplitudes (p=0.039) and area-under-curve (p=0.029) than those of the controls. Regarding the late HFOs, there were no significant differences among these groups. CONCLUSION: Our study suggests a hyper-excitable state in the subcortical regions in patients with migraine both during interictal and ictal periods.
Authors: Lucia Joffily; Marco Antônio de Melo Tavares de Lima; Maurice Borges Vincent; Silvana Maria Monte Coelho Frota Journal: Neurol Sci Date: 2016-03-31 Impact factor: 3.307