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Decreased Cerebral Perfusion in Chronic Migraine: A Voxel-based Cerebral Blood Flow Analysis Using 3D Pseudo-continuous Arterial Spin Labeling.
Li, Xin; Liu, Mengqi; Zhao, Shuqiang; Chen, Zhiye.
Afiliación
  • Li X; Department of Radiology, Hainan Hospital of PLA General Hospital, Sanya 572013, China.
  • Liu M; The Second School of Clinical Medicine, Southern Medical University, Guangzhou 510515, China.
  • Zhao S; Department of Radiology, Hainan Hospital of PLA General Hospital, Sanya 572013, China.
  • Chen Z; Department of Radiology, First Medical Center of PLA General Hospital, Beijing 100853, China.
Curr Med Imaging ; 20: e15734056219963, 2024.
Article en En | MEDLINE | ID: mdl-38660947
ABSTRACT

BACKGROUND:

A contrast agent-free approach would be preferable to the frequently used invasive approaches for evaluating cerebral perfusion in chronic migraineurs (CM). In this work, non-invasive quantitative volumetric perfusion imaging was used to evaluate alterations in cerebral perfusion in CM.

METHODS:

We used conventional brain structural imaging sequences and 3D pseudo-continuous arterial spin labeling (3D PCASL) to examine thirteen CM patients and fifteen normal controls (NCs). The entire brain gray matter underwent voxel-based analysis, and the cerebral blood flow (CBF) values of the altered positive areas were retrieved to look into the clinical variables' significant correlation.

RESULTS:

Brain regions with the decreased perfusion were located in the left postcentral gyrus, bilateral middle frontal gyrus, left middle occipital gyrus, left superior parietal lobule, left medial segment of superior frontal gyrus, and right orbital part of the inferior frontal gyrus. White matter fibers with decreased perfusion were located in bilateral superior longitudinal tracts, superior corona radiata, external capsules, anterior and posterior limbs of the internal capsule, anterior corona radiata, inferior longitudinal fasciculus, and right corticospinal tract. However, the correlation analysis showed no significant correlation between the CBF value of the above positive brain regions with clinical variables (p > 0.05).

CONCLUSION:

The current study provided more useful information to comprehend the pathophysiology of CM and revealed a new insight into the neural mechanism of CM from the pattern of cerebral hypoperfusion.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Marcadores de Spin / Circulación Cerebrovascular / Trastornos Migrañosos Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Curr Med Imaging Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Emiratos Árabes Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Marcadores de Spin / Circulación Cerebrovascular / Trastornos Migrañosos Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Curr Med Imaging Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Emiratos Árabes Unidos