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Related Experiment Video

Updated: Dec 31, 2025

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
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Mapping migraine to a common brain network.

Matthew J Burke1,2,3, Juho Joutsa1,4,5, Alexander L Cohen1,6

  • 1Berenson-Allen Center for Noninvasive Brain Stimulation, Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.

Brain : a Journal of Neurology
|January 11, 2020
PubMed
Summary
This summary is machine-generated.

Migraine brain imaging findings consistently link to a specific network involving the visual cortex (V3/V3A), insula, and hypothalamus. This discovery offers a unified understanding and a potential target for migraine neuromodulation therapies.

Keywords:
connectivitymigrainenetworksneuroimagingneuromodulation

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Last Updated: Dec 31, 2025

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Area of Science:

  • Neuroimaging
  • Neuroscience
  • Brain Network Mapping

Background:

  • Migraine neuroimaging studies show inconsistent findings, hindering symptom localization and therapeutic target identification.
  • Novel brain network mapping techniques offer a promising approach to link imaging results to neuroanatomy and treatment targets.

Purpose of the Study:

  • To determine if heterogeneous neuroimaging findings in migraine patients localize to a common brain network.
  • To identify a common neuroanatomical substrate for migraine symptomatology using advanced network mapping.

Main Methods:

  • Utilized meta-analytic coordinates of decreased grey matter volume in migraineurs as seed regions.
  • Generated resting-state functional connectivity network maps from a normative connectome (n=1000).
  • Employed Bayesian spatial generalized linear mixed models and region of interest analyses for specificity evaluation against chronic pain and Alzheimer's disease control groups.

Main Results:

  • All migraine coordinates (100%) showed negative connectivity to left extrastriate visual cortex (V3/V3A).
  • Over 90% of coordinates exhibited positive connectivity with the insula and negative connectivity with the hypothalamus.
  • Left V3/V3A was identified as the most specific connectivity area for migraine compared to control groups.

Conclusions:

  • Coordinate-based network mapping reveals that grey matter loss in migraineurs localizes to a common brain network connected to visual cortex V3/V3A.
  • This network, implicated in cortical spreading depression, offers a unified perspective on migraine neuroimaging.
  • The findings propose V3/V3A as a specific, novel target for migraine neuromodulatory treatments.