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Related Experiment Video

Updated: Nov 4, 2025

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
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White matter hyperintensity in different migraine subtypes.

L A Dobrynina1, A D Suslina2, M V Gubanova3

  • 13rd Neurological Department, Research Center of Neurology, Volokolamskoe shosse, 80, 125367, Moscow, Russia.

Scientific Reports
|May 26, 2021
PubMed
Summary
This summary is machine-generated.

White matter hyperintensities (WMH) show a similar pattern across migraine subtypes in patients without vascular risk factors. These findings suggest WMH may help distinguish primary migraine from other headache disorders.

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Area of Science:

  • Neurology
  • Neuroimaging
  • Vascular Neurology

Background:

  • The diagnostic significance of white matter hyperintensities (WMH) in various migraine subtypes remains unclear.
  • Understanding WMH patterns in migraine patients without vascular risk factors is crucial for accurate diagnosis and prognosis.

Purpose of the Study:

  • To investigate and compare the white matter hyperintensity (WMH) patterns in different migraine subtypes among patients lacking vascular risk factors.
  • To assess the potential diagnostic value of WMH in differentiating primary migraine from other headache disorders.

Main Methods:

  • A cohort of 92 migraine patients (episodic, chronic, with aura, without aura) without vascular risk factors underwent 3 Tesla brain MRI.
  • A matched control group of 24 healthy individuals without migraine was included for comparison.
  • Analysis focused on the prevalence, location, size, and pattern of WMH, correlating findings with patient age and migraine duration.

Main Results:

  • WMH prevalence ranged from 38.7% to 44.4% across migraine subtypes, with no WMH observed in the healthy control group.
  • Lesions were predominantly located in frontal, parietal, and temporal lobes, appearing as small foci in juxtacortical and deep white matter.
  • No significant differences in WMH number, size, or prevalence were found between migraine subtypes, nor were interactions with age or sex observed, except for a correlation between frontal WMH and patient age/migraine duration.

Conclusions:

  • Migraine patients without vascular risk factors exhibit a consistent WMH pattern irrespective of subtype, in the absence of subclinical infarctions or microbleedings.
  • WMH patterns do not appear to have significant prognostic value for migraine course or vascular complications.
  • The distinct WMH pattern in migraine patients may aid in differentiating primary migraine from other disorders presenting with migraine-like headaches and WMH.