Migraine attacks the Basal Ganglia

Nasim Maleki1, Lino Becerra, Lauren Nutile

  • 1Department of Radiology, Children’s Hospital Boston, Harvard Medical School, Boston, MA 02115, USA.

Molecular Pain
|September 23, 2011
PubMed
Abstract

Insights

Migraine progression involves changes in the basal ganglia, a brain region crucial for pain processing. This study reveals differences in brain structure and function between patients with progressing versus non-progressing episodic migraine.

Area of Science:

  • Neuroscience
  • Neurology
  • Medical Imaging

Background:

  • Episodic migraine attacks can increase in frequency, duration, and intensity over time.
  • The progression from episodic to chronic migraine is poorly understood.
  • This study investigates brain differences in migraine patients with progressing versus non-progressing disease.

Purpose of the Study:

  • To compare functional responses, connectivity, and brain morphology in episodic migraine patients.
  • To identify neurobiological differences associated with migraine progression.

Main Methods:

  • High-field human brain imaging techniques were employed.
  • Functional responses, functional connectivity, and brain morphology were analyzed.
  • Patients were grouped into low-frequency (LF) and high-frequency (HF) episodic migraine based on progression.

Main Results:

  • High-frequency (HF) episodic migraine patients showed lower pain responses in the caudate, putamen, and pallidum compared to low-frequency (LF) patients.
  • HF patients exhibited larger gray matter volume in the caudate nuclei bilaterally.
  • Functional connectivity analyses revealed further distinctions between LF and HF groups during pain response.

Conclusions:

  • Findings suggest a significant role for the basal ganglia in the pathophysiology of episodic migraine.
  • The basal ganglia's involvement in pain processing may be altered in migraine progression.
  • These results provide insights into the neurobiological mechanisms underlying migraine chronification.

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