FEATURES OF HEMODYNAMICS IN HEAD MAGISTRAL AND CEREBRAL ARTERIES IN THE PATIENTS WITH MIGRAINE

Valeriy I Kalashnikov1, Alexander N Stoyanov2, Alexander R Pulyk3

  • 1KHARKIV MEDICAL ACADEMY OF POSTGRADUATE EDUCATION, KHARKIV, UKRAINE.

Wiadomosci Lekarskie (Warsaw, Poland : 1960)
|December 13, 2021
PubMed

Insights

Doppler sonography reveals distinct hemodynamic patterns in migraine patients. Migraine with aura shows reduced vertebral artery flow and hampered middle cerebral artery perfusion, while migraine without aura exhibits excessive middle cerebral artery perfusion.

Area of Science:

  • Neurology
  • Vascular Medicine
  • Diagnostic Imaging

Background:

  • Migraine is a common neurological disorder with complex pathophysiology.
  • Understanding the vascular changes associated with different migraine types is crucial for diagnosis and management.

Purpose of the Study:

  • To investigate the structural and functional state of head and cerebral arteries in patients with various forms of migraine using Doppler sonography.

Main Methods:

  • A Doppler sonography examination was performed on 124 young patients (18-45 years) with migraine without aura (n=63) and migraine with aura (n=61).
  • A control group of 45 age- and gender-matched individuals was included.
  • The study assessed the condition of head магистральные arteries (HMA) and cerebral arteries.

Main Results:

  • Extravasal compressions of vertebral arteries (VA) and, in some cases, VA hypoplasia were observed in migraine patients.
  • Patients with migraine with aura showed decreased velocity in extracranial VA segments and hampered perfusion in middle cerebral arteries (MCA).
  • Migraine without aura patients exhibited excessive perfusion in MCA.

Conclusions:

  • Migraine with aura is associated with reduced VA velocity, potential VA hypoplasia, and hampered MCA perfusion.
  • Excessive MCA perfusion is a key hemodynamic pattern in migraine without aura.
  • Extravasal VA compression and posterior cerebral artery hyperperfusion are common in both migraine types.
Abstract

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