title: Functional 1H-MRS findings in migraine patients with and without aura assessed interictally.
abstract: The present study was aimed at investigating changes in brain metabolites due to visual cortex activation in migraineurs and normal subjects by (1)H-magnetic resonance spectroscopy (MRS). Twenty-two migraine patients with aura, 22 migraine patients without aura, and 10 control subjects were assessed. The volume of interest (about 8 cm(3)) was placed on the visual cortex area and the visual stimulus was applied using MR-compatible goggles with a flashing red light at a frequency of 8 Hz and an intensity of 14 lx. Data were acquired over 36'40". The experimental time course was: baseline phase, from 0 to 3'40" (1 spectrum); on phase (flashing light condition), from 3'40" to 29'20" (1540") (7 spectra), and off phase, from 29'20" to the end of the experiment at 36'40" (2 spectra). The main result of photic stimulation in patients with migraine with aura is the more consistent decrease (-14.61%) of the N-acetylaspartate (NAA) signal, which is significantly greater than that found in migraine patients without aura and control subjects. A parallel slight increase in the lactate peak was also detected. The above findings support little differences in brain metabolites between the two patient groups assessed in interictal periods, which suggests a less efficient mitochondrial functioning in migraine with aura patients.
authors.affiliation: Neuroscience Department, University of Perugia, Policlinico Monteluce, Via E Dal Pozzo, 06126 Perugia, Italy. neuro.pg@tiscalinet.it
authors.forename: Paola
authors.initials: P
authors.lastname: Sarchielli
authors.forename: Roberto
authors.initials: R
authors.lastname: Tarducci
authors.forename: Otello
authors.initials: O
authors.lastname: Presciutti
authors.forename: Gianni
authors.initials: G
authors.lastname: Gobbi
authors.forename: Gian Piero
authors.initials: GP
authors.lastname: Pelliccioli
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Stipa
authors.forename: Andrea
authors.initials: A
authors.lastname: Alberti
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Capocchi
mesh_terms: D000328:Adult; D001224:Aspartic Acid / Q000031:analogs & derivatives* / Q000378:metabolism; D001923:Brain Chemistry / Q000502:physiology*; D002794:Choline / Q000378:metabolism; D002857:Chromium / Q000378:metabolism; D003401:Creatine / Q000378:metabolism; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009682:Magnetic Resonance Spectroscopy; D008297:Male; D020325:Migraine with Aura / Q000378:metabolism* / Q000473:pathology; D020326:Migraine without Aura / Q000378:metabolism* / Q000473:pathology; D010775:Photic Stimulation; D014793:Visual Cortex / Q000378:metabolism / Q000473:pathology
chemical_list: D002857:Chromium; D001224:Aspartic Acid; C000179:N-acetylaspartate; D003401:Creatine; D002794:Choline