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Related Experiment Videos

Migraine: A look down the nose.

Thomas Muehlberger1, Justin C R Wormald2, Nadine Hachach-Haram2

  • 1Migraine Surgery Centre, 10 Harley Street, London W1G 9PF, United Kingdom.

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|April 1, 2017
PubMed
Summary
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Nasal mucosal contact points are common in both migraine and non-migraine patients. While not a direct cause, these contact points may trigger migraine attacks, necessitating evaluation for rhinological disorders.

Area of Science:

  • Otolaryngology
  • Neurology
  • Medical Imaging

Background:

  • Nasal mucosal contact points are implicated in surgical migraine treatment.
  • The role of nasal pathology in migraine pathogenesis requires further investigation.
  • Rhinological disorders can complicate the assessment of anatomical variants in migraines.

Purpose of the Study:

  • To compare the prevalence of nasal mucosal contact points in migraine patients versus non-migraine patients.
  • To determine if anatomical variations in the nasal cavity are significantly associated with migraines.
  • To explore the relationship between nasal pathology and migraine occurrence.

Main Methods:

  • Analysis of coronal and axial MRI brain scans from 522 patients (412 migraineurs, 110 non-migraineurs).
Keywords:
HeadacheMigraineMigraine surgeryRhinology

Related Experiment Videos

  • Assessment for anatomical variations including concha bullosa, septal deviations, mucosal swelling, and contact points.
  • Comparison of prevalence rates between migraine patients (MPs) and non-migraine patients (NMPs).

    • Main Results:

    • No significant difference in examined parameters between migraine patients and non-migraine patients.
    • High prevalence of at least one contact point in both groups: 87% in MPs and 79% in NMPs.
    • The most common contact point, between the middle turbinate and septum, was observed in 54% of MPs and 45% of NMPs.

    Conclusions:

    • Nasal mucosal contact points are highly prevalent in both migraine and non-migraine populations.
    • Contact points do not cause migraines independently but can act as triggers for attacks in migraine patients.
    • Differentiating or excluding rhinological disorders is crucial in patients presenting with both migraines and contact points.