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Relation between migraine pattern and white matter hyperintensities in brain magnetic resonance imaging
Mohamed Negm1, Ahmed Mohamed Housseini2, Mohamed Abdelfatah1
11Neurology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
The Egyptian Journal of Neurology, Psychiatry and Neurosurgery
|September 22, 2018
Summary
White matter hyperintensities (WMHs) are common in migraine patients, particularly those with aura and severe symptoms. Factors like age, nausea, and treatment resistance increase WMH prevalence, highlighting their association with migraine severity.
Area of Science:
- Neurology
- Radiology
- Neuroimaging
Background:
- Migraine is a prevalent neurological disorder.
- The presence and prevalence of white matter hyperintensities (WMHs) in migraine patients require further investigation.
- Understanding WMH correlation with migraine characteristics is crucial.
Purpose of the Study:
- To determine the prevalence of WMHs in migraine patients.
- To investigate the association between WMHs and migraine severity, type, and duration.
- To identify risk factors for WMH development in migraine.
Main Methods:
- A cross-sectional analytical study was conducted.
- Included 65 migraine patients (18-50 years) without specific comorbidities.
- Brain MRI and laboratory investigations were performed.
Main Results:
- WMHs were significantly more frequent in migraine with aura.
- WMH prevalence increased with migraine severity (MIGSEV grade III vs. I/II).
- Increased pain intensity, nausea, disability, age, and treatment resistance correlated with more WMHs.
Conclusions:
- WMHs were found in 43.1% of migraine patients.
- Age, aura, nausea, disability, treatment resistance, headache severity, and migraine duration are risk factors for WMHs.
- WMHs are a significant finding in migraine patients, linked to clinical characteristics.
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