Research
Print page Print page
Switch language
Rigshospitalet - a part of Copenhagen University Hospital
Published

Interictal pontine metabolism in migraine without aura patients: A 3 Tesla proton magnetic resonance spectroscopy study

Research output: Contribution to journalJournal articleResearchpeer-review

  1. Imaging cortical multiple sclerosis lesions with ultra-high field MRI

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Evaluating 2-[F-18]FDG-PET in differential diagnosis of dementia using a data-driven decision model

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Migraine with aura in women is not associated with structural thalamic abnormalities

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Motor fatigue is associated with asymmetric connectivity properties of the corticospinal tract in multiple sclerosis

    Research output: Contribution to journalJournal articleResearchpeer-review

  5. Detecting frontotemporal dementia syndromes using MRI biomarkers

    Research output: Contribution to journalJournal articleResearchpeer-review

  1. The chronobiology of migraine: a systematic review

    Research output: Contribution to journalReviewResearchpeer-review

  2. PEARL study protocol: a real-world study of fremanezumab effectiveness in patients with chronic or episodic migraine

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Opening of BKCa channels causes migraine attacks: a new downstream target for the treatment of migraine

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Erenumab prevents the occurrence of migraine attacks and not just migraine days: Post-hoc analyses of a phase III study

    Research output: Contribution to journalJournal articleResearchpeer-review

View graph of relations

In the pons, glutamatergic mechanisms are involved in regulating inhibitory descending pain modulation, serotoninergic neurotransmission as well as modulating the sensory transmission of the trigeminovascular system. Migraine involves altered pontine activation and structural changes, while biochemical, genetic and clinical evidence suggests that altered interictal pontine glutamate levels may be an important pathophysiological feature of migraine abetting to attack initiation. Migraine without aura patients were scanned outside attacks using a proton magnetic resonance spectroscopy protocol optimized for the pons at 3 Tesla. The measurements were performed on two separate days to increase accuracy and compared to similar repeated measurements in healthy controls. We found that interictal glutamate (i.e. Glx) levels in the pons of migraine patients (n = 33) were not different from healthy controls (n = 16) (p = 0.098), while total creatine levels were markedly increased in patients (9%, p = 0.009). There was no correlation of glutamate or total creatine levels to migraine frequency, days since the last attack, usual pain intensity of attacks or disease duration. In conclusion, migraine is not associated with altered interictal pontine glutamate levels. However, the novel finding of increased total creatine levels suggests that disequilibrium in the pontine energy metabolism could be an important feature of migraine pathophysiology.

Original languageEnglish
Article number102824
JournalNeuroImage. Clinical
Volume32
ISSN2213-1582
DOIs
Publication statusPublished - 2021

Bibliographical note

Copyright © 2021 The Authors. Published by Elsevier Inc. All rights reserved.

ID: 68392124