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Cerebral Hemodynamics, Right-to-Left Shunt and White Matter Hyperintensities in Patients with Migraine with Aura, Young Stroke Patients and Controls.
Brunelli, Nicoletta; Altamura, Claudia; Mallio, Carlo A; Lo Vullo, Gianguido; Marcosano, Marilena; Bach-Pages, Marcel; Beomonte Zobel, Bruno; Quattrocchi, Carlo Cosimo; Vernieri, Fabrizio.
Afiliación
  • Brunelli N; Headache and Neurosonology Unit, Neurology Unit, Campus Bio-Medico University Hospital Foundation, 00128 Rome, Italy.
  • Altamura C; Headache and Neurosonology Unit, Neurology Unit, Campus Bio-Medico University Hospital Foundation, 00128 Rome, Italy.
  • Mallio CA; Radiology Unit, Campus Bio-Medico University Hospital Foundation, 00128 Rome, Italy.
  • Lo Vullo G; Radiology Unit, Campus Bio-Medico University Hospital Foundation, 00128 Rome, Italy.
  • Marcosano M; Headache and Neurosonology Unit, Neurology Unit, Campus Bio-Medico University Hospital Foundation, 00128 Rome, Italy.
  • Bach-Pages M; Department of Plant Sciences, University of Oxford, Oxford OX1 3RB, UK.
  • Beomonte Zobel B; FENIX Group International, LLC, Reading, PA 19601, USA.
  • Quattrocchi CC; Radiology Unit, Campus Bio-Medico University Hospital Foundation, 00128 Rome, Italy.
  • Vernieri F; Radiology Unit, Campus Bio-Medico University Hospital Foundation, 00128 Rome, Italy.
Int J Environ Res Public Health ; 19(14)2022 07 14.
Article en En | MEDLINE | ID: mdl-35886428
Background: Migraine with aura (MA) patients present an increased risk of cerebrovascular events. However, whether these patients present an increased white matter hyperintensities (WMHs) load compared to the general population is still under debate. Our study aimed to evaluate the relationship between cerebral hemodynamics, right-to-left shunt (RLS) and WMHs in MA patients, young patients with cryptogenic stroke or motor transient ischemic attack (TIA) and controls. Methods: We enrolled 30 MA patients, 20 young (<60 years) patients with cryptogenic stroke/motor TIA, and 10 controls. All the subjects underwent a transcranial Doppler bubble test to detect RLS and cerebral hemodynamics assessed by the breath holding index (BHI) for the middle (MCA) and posterior (PCA) cerebral arteries. Vascular risk factors were collected. The WMHs load on FLAIR MRI sequences was quantitatively assessed. Results: The stroke/TIA patients presented a higher prevalence of RLS (100%) compared with the other groups (p < 0.001). The MA patients presented a higher BHI compared with the other groups in the PCA (p = 0.010) and higher RLS prevalence (60%) than controls (30%) (p < 0.001). The WMHs load did not differ across groups. BHI and RLS were not correlated to the WMHs load in the groups. Conclusions: A preserved or more reactive cerebral hemodynamics and the presence of a RLS are likely not involved in the genesis of WMHs in MA patients. A higher BHI may counteract the risk related to their higher prevalence of RLS. These results need to be confirmed by further studies to be able to effectively identify the protective role of cerebral hemodynamics in the increased RLS frequency in MA patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ataque Isquémico Transitorio / Accidente Cerebrovascular / Migraña con Aura / Foramen Oval Permeable / Sustancia Blanca / Accidente Cerebrovascular Isquémico / Trastornos Migrañosos Tipo de estudio: Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Int J Environ Res Public Health Año: 2022 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ataque Isquémico Transitorio / Accidente Cerebrovascular / Migraña con Aura / Foramen Oval Permeable / Sustancia Blanca / Accidente Cerebrovascular Isquémico / Trastornos Migrañosos Tipo de estudio: Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Int J Environ Res Public Health Año: 2022 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suiza