Volumetric abnormalities of thalamic subnuclei in medication-overuse headache

Abstract Background The thalamus exerts a pivotal role in pain processing and cortical excitability control and a previous voxel-based morphometry study confirmed increased volume in bilateral thalamus in medication-overuse headache (MOH). The aim of this study is to investigate altered thalamic sub...

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Main Authors: Zhiye Chen, Zhihua Jia, Xiaoyan Chen, Mengqi Liu, Shuangfeng Liu, Lin Ma, Shengyuan Yu
Format: Article
Language:English
Published: BMC 2017-08-01
Series:The Journal of Headache and Pain
Subjects:
Online Access:http://link.springer.com/article/10.1186/s10194-017-0791-5
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author Zhiye Chen
Zhihua Jia
Xiaoyan Chen
Mengqi Liu
Shuangfeng Liu
Lin Ma
Shengyuan Yu
author_facet Zhiye Chen
Zhihua Jia
Xiaoyan Chen
Mengqi Liu
Shuangfeng Liu
Lin Ma
Shengyuan Yu
author_sort Zhiye Chen
collection DOAJ
description Abstract Background The thalamus exerts a pivotal role in pain processing and cortical excitability control and a previous voxel-based morphometry study confirmed increased volume in bilateral thalamus in medication-overuse headache (MOH). The aim of this study is to investigate altered thalamic subnuclei volume in MOH compared with normal controls, and to evaluate the relationship of each thalamic subnuclei volume with the clinical variables. Methods High resolution three-dimensional T1-weighted fast spoiled gradient recalled echo MR images were obtained from 27 patients with MOH and 27 normal controls (NC). Thalamic subnuclei templates were created based on Talairach template with MNI space transformation, and the individual thalamic subnuclei templates were generated by applying the deformation field from structural image segment to the thalamic subnuclei templates, and then individual thalamci subnuclei volume were calculated. Results The whole thalamus and each thalamic subnuclei presented increased volume compared with NC (P < 0.05). The correlation analysis demonstrated that the whole thalamus volume and each thalamic subnuclei volume showed a negative relationship with HAMD scores(P < 0.05), and no any correlation with HAMA, VAS score and disease duration (P > 0.05). Conclusion Increased gray matter volume in the whole thalamus and all the thalamus subnuclei may reflect central sensitization and higher-order of pain alteration in MOH. These structural changes in the thalamus may also be influenced by mood disturbances related to the MOH.
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spelling doaj.art-3c0f8d36f8a94fd4a80d966c74579fa52022-12-21T17:58:18ZengBMCThe Journal of Headache and Pain1129-23691129-23772017-08-011811710.1186/s10194-017-0791-5Volumetric abnormalities of thalamic subnuclei in medication-overuse headacheZhiye Chen0Zhihua Jia1Xiaoyan Chen2Mengqi Liu3Shuangfeng Liu4Lin Ma5Shengyuan Yu6Department of Radiology, Chinese PLA General HospitalDepartment of Neurology, Chinese PLA General HospitalDepartment of Neurology, Chinese PLA General HospitalDepartment of Radiology, Chinese PLA General HospitalDepartment of Radiology, Chinese PLA General HospitalDepartment of Radiology, Chinese PLA General HospitalDepartment of Neurology, Chinese PLA General HospitalAbstract Background The thalamus exerts a pivotal role in pain processing and cortical excitability control and a previous voxel-based morphometry study confirmed increased volume in bilateral thalamus in medication-overuse headache (MOH). The aim of this study is to investigate altered thalamic subnuclei volume in MOH compared with normal controls, and to evaluate the relationship of each thalamic subnuclei volume with the clinical variables. Methods High resolution three-dimensional T1-weighted fast spoiled gradient recalled echo MR images were obtained from 27 patients with MOH and 27 normal controls (NC). Thalamic subnuclei templates were created based on Talairach template with MNI space transformation, and the individual thalamic subnuclei templates were generated by applying the deformation field from structural image segment to the thalamic subnuclei templates, and then individual thalamci subnuclei volume were calculated. Results The whole thalamus and each thalamic subnuclei presented increased volume compared with NC (P < 0.05). The correlation analysis demonstrated that the whole thalamus volume and each thalamic subnuclei volume showed a negative relationship with HAMD scores(P < 0.05), and no any correlation with HAMA, VAS score and disease duration (P > 0.05). Conclusion Increased gray matter volume in the whole thalamus and all the thalamus subnuclei may reflect central sensitization and higher-order of pain alteration in MOH. These structural changes in the thalamus may also be influenced by mood disturbances related to the MOH.http://link.springer.com/article/10.1186/s10194-017-0791-5Medication-overuse headacheMigraineThalamusMagnetic resonance imaging
spellingShingle Zhiye Chen
Zhihua Jia
Xiaoyan Chen
Mengqi Liu
Shuangfeng Liu
Lin Ma
Shengyuan Yu
Volumetric abnormalities of thalamic subnuclei in medication-overuse headache
The Journal of Headache and Pain
Medication-overuse headache
Migraine
Thalamus
Magnetic resonance imaging
title Volumetric abnormalities of thalamic subnuclei in medication-overuse headache
title_full Volumetric abnormalities of thalamic subnuclei in medication-overuse headache
title_fullStr Volumetric abnormalities of thalamic subnuclei in medication-overuse headache
title_full_unstemmed Volumetric abnormalities of thalamic subnuclei in medication-overuse headache
title_short Volumetric abnormalities of thalamic subnuclei in medication-overuse headache
title_sort volumetric abnormalities of thalamic subnuclei in medication overuse headache
topic Medication-overuse headache
Migraine
Thalamus
Magnetic resonance imaging
url http://link.springer.com/article/10.1186/s10194-017-0791-5
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