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Interictal and postictal cognitive changes in migraine.

E J Mulder1, W H Linssen, J Passchier

  • 1Department of Biological Psychology, Vrije Universiteit, Amsterdam, The Netherlands. EJCM.Mulder@psy.vu.nl

Cephalalgia : an International Journal of Headache
|August 17, 1999
PubMed
Summary

Migraine with aura patients exhibit slower selective attention, even when symptom-free. Cognitive function in migraineurs is not worsened by attacks or medication, regardless of duration.

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Area of Science:

  • Neuroscience
  • Cognitive Psychology
  • Neurology

Background:

  • Migraine is a neurological disorder often associated with cognitive symptoms.
  • The impact of migraine on cognitive function, particularly in symptom-free periods, requires further investigation.

Purpose of the Study:

  • To determine if symptom-free migraine patients exhibit cognitive impairments compared to controls.
  • To assess if migraine attacks induce transient cognitive impairments.

Main Methods:

  • The Neuropsychological Evaluation System (NES2) was used to assess cognitive performance.
  • Participants included 20 migraineurs without aura, 10 migraineurs with aura, and 30 controls.
  • Cognitive performance was evaluated during interictal and postictal periods, with varying medication use.

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Main Results:

  • Migraineurs with aura showed slower selective attention compared to controls in headache-free periods.
  • Migraineurs without aura performed similarly to controls during interictal testing.
  • Cognitive impairments were not exacerbated by preceding migraine attacks, attack duration, or medication type.

Conclusions:

  • Migraine with aura is associated with persistent deficits in selective attention, even between attacks.
  • Migraine attacks and their treatment do not appear to worsen cognitive function.
  • Selective attention deficits may be a trait marker in migraine with aura.