Spontaneous migraine attack causes alterations in default mode network connectivity: a resting-state fMRI case report

Abstract Background Although migraine is one of the most investigated neurologic disorders, we do not have a perfect neuroimaging biomarker for its pathophysiology. One option to improve our knowledge is to study resting-state functional connectivity in and out of headache pain. However, our underst...

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Main Authors: Andrea Edit Edes, Lajos Rudolf Kozak, Mate Magyar, Terezia Zsombok, Gyongyi Kokonyei, Gyorgy Bagdy, Gabriella Juhasz
Format: Article
Language:English
Published: BMC 2017-04-01
Series:BMC Research Notes
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13104-017-2484-1
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author Andrea Edit Edes
Lajos Rudolf Kozak
Mate Magyar
Terezia Zsombok
Gyongyi Kokonyei
Gyorgy Bagdy
Gabriella Juhasz
author_facet Andrea Edit Edes
Lajos Rudolf Kozak
Mate Magyar
Terezia Zsombok
Gyongyi Kokonyei
Gyorgy Bagdy
Gabriella Juhasz
author_sort Andrea Edit Edes
collection DOAJ
description Abstract Background Although migraine is one of the most investigated neurologic disorders, we do not have a perfect neuroimaging biomarker for its pathophysiology. One option to improve our knowledge is to study resting-state functional connectivity in and out of headache pain. However, our understanding of the functional connectivity changes during spontaneous migraine attack is partial and incomplete. Case presentation Using resting-state functional magnetic resonance imaging we assessed a 24-year old woman affected by migraine without aura at two different times: during a spontaneous migraine attack and in interictal phase. Seed-to-voxel whole brain analysis was carried out using the posterior cingulate cortex as a seed, representing the default mode network (DMN). Our results showed decreased intrinsic connectivity within core regions of the DMN with an exception of a subsystem including the dorsal medial and superior frontal gyri, and the mid-temporal gyrus which is responsible for pain interpretation and control. In addition, increased connectivity between the DMN and pain and specific migraine-related areas, such as the pons and hypothalamus, developed during the spontaneous migraine attack. Conclusion Our preliminary results provide further support for the hypothesis that alterations of the DMN functional connectivity during migraine headache may lead to maladaptive top-down modulation of migraine pain-related areas which might be a specific biomarker for migraine.
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spelling doaj.art-372f6f617a59445eaf17608b96b0f1892022-12-22T00:21:01ZengBMCBMC Research Notes1756-05002017-04-011011510.1186/s13104-017-2484-1Spontaneous migraine attack causes alterations in default mode network connectivity: a resting-state fMRI case reportAndrea Edit Edes0Lajos Rudolf Kozak1Mate Magyar2Terezia Zsombok3Gyongyi Kokonyei4Gyorgy Bagdy5Gabriella Juhasz6MTA-SE-NAP B Genetic Brain Imaging Migraine Research Group, Hungarian Academy of Sciences, Semmelweis UniversityMTA-SE-NAP B Genetic Brain Imaging Migraine Research Group, Hungarian Academy of Sciences, Semmelweis UniversityMTA-SE-NAP B Genetic Brain Imaging Migraine Research Group, Hungarian Academy of Sciences, Semmelweis UniversityMTA-SE-NAP B Genetic Brain Imaging Migraine Research Group, Hungarian Academy of Sciences, Semmelweis UniversityMTA-SE-NAP B Genetic Brain Imaging Migraine Research Group, Hungarian Academy of Sciences, Semmelweis UniversityMTA-SE Neuropsychopharmacology and Neurochemistry Research Group, Hungarian Academy of Sciences, Semmelweis UniversityMTA-SE-NAP B Genetic Brain Imaging Migraine Research Group, Hungarian Academy of Sciences, Semmelweis UniversityAbstract Background Although migraine is one of the most investigated neurologic disorders, we do not have a perfect neuroimaging biomarker for its pathophysiology. One option to improve our knowledge is to study resting-state functional connectivity in and out of headache pain. However, our understanding of the functional connectivity changes during spontaneous migraine attack is partial and incomplete. Case presentation Using resting-state functional magnetic resonance imaging we assessed a 24-year old woman affected by migraine without aura at two different times: during a spontaneous migraine attack and in interictal phase. Seed-to-voxel whole brain analysis was carried out using the posterior cingulate cortex as a seed, representing the default mode network (DMN). Our results showed decreased intrinsic connectivity within core regions of the DMN with an exception of a subsystem including the dorsal medial and superior frontal gyri, and the mid-temporal gyrus which is responsible for pain interpretation and control. In addition, increased connectivity between the DMN and pain and specific migraine-related areas, such as the pons and hypothalamus, developed during the spontaneous migraine attack. Conclusion Our preliminary results provide further support for the hypothesis that alterations of the DMN functional connectivity during migraine headache may lead to maladaptive top-down modulation of migraine pain-related areas which might be a specific biomarker for migraine.http://link.springer.com/article/10.1186/s13104-017-2484-1NeuroimagingFunctional connectivityMigraineMigraine attackHeadache painPain processing
spellingShingle Andrea Edit Edes
Lajos Rudolf Kozak
Mate Magyar
Terezia Zsombok
Gyongyi Kokonyei
Gyorgy Bagdy
Gabriella Juhasz
Spontaneous migraine attack causes alterations in default mode network connectivity: a resting-state fMRI case report
BMC Research Notes
Neuroimaging
Functional connectivity
Migraine
Migraine attack
Headache pain
Pain processing
title Spontaneous migraine attack causes alterations in default mode network connectivity: a resting-state fMRI case report
title_full Spontaneous migraine attack causes alterations in default mode network connectivity: a resting-state fMRI case report
title_fullStr Spontaneous migraine attack causes alterations in default mode network connectivity: a resting-state fMRI case report
title_full_unstemmed Spontaneous migraine attack causes alterations in default mode network connectivity: a resting-state fMRI case report
title_short Spontaneous migraine attack causes alterations in default mode network connectivity: a resting-state fMRI case report
title_sort spontaneous migraine attack causes alterations in default mode network connectivity a resting state fmri case report
topic Neuroimaging
Functional connectivity
Migraine
Migraine attack
Headache pain
Pain processing
url http://link.springer.com/article/10.1186/s13104-017-2484-1
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