Headache Related Alterations of Visual Processing in Migraine Patients.

Visual evoked potentials; chronic migraine; episodic migraine; feedback; feedforward; spectral analysis; Adult; Brain Waves/physiology; Chronic Disease; Evoked Potentials, Visual/physiology; Feedback; Female; Humans; Male; Middle Aged; Migraine Disorders/physiopathology; Visual Cortex/physiopathology; Visual Perception/physiology; Young Adult; Brain Waves; Evoked Potentials, Visual; Migraine Disorders; Visual Cortex; Visual Perception; Neurology; Neurology (clinical); Anesthesiology and Pain Medicine

Résumé :

[en] Migraine is characterized by an increased sensitivity to visual stimuli that worsens during attacks. Recent evidence has shown that feedforward volleys carrying incoming visual information induce high-frequency (gamma) oscillations in the visual cortex, while feedback volleys arriving from higher order brain areas induce oscillatory activity at lower frequencies (theta/alpha/low beta). We investigated visually induced high (feedforward) and low (feedback) frequency activations in healthy subjects and various migraine patients. Visual evoked potentials from 20 healthy controls and 70 migraine patients (30 interictal and 20 ictal episodic migraineurs, 20 chronic migraineurs) were analyzed in the frequency domain. We compared power in the theta-alpha-low beta and gamma range between groups, and searched for correlations between the low-to-high frequency activity ratio and number of monthly headache and migraine days. Compared to healthy controls, interictal migraine patients had increased visually induced low frequency (feedback) activity. Conversely, ictal and chronic migraine patients showed an augmented gamma band (feedforward) power. The low-frequency-to-gamma (feedback/feedforward) activity ratio correlated negatively with monthly headache days and tended to do so with migraine days. Our findings show that visual processing is differentially altered depending on migraine cycle and type. Feedback control from higher order cortical areas predominates interictally in episodic migraine while migraine attacks and chronic migraine are associated with enhanced incoming afferent activity, confirming their similar electrophysiological profile. The presence of headache is associated with proportionally higher gamma (feedforward) activities. PERSPECTIVE: This study provides an insight into the pathophysiology of migraine headache from the perspective of cortical sensory processing dynamics. Patients with migraine present alterations in feedback and feedforward visual signaling that differ with the presence of headache.

Disciplines :

Neurologie

Auteur, co-auteur :

Lisicki, Marco; Headache Research Unit, CHR Citadelle Hospital, CHU de Liège, University of Liège Belgium

D'Ostilio, Kevin; Headache Research Unit, CHR Citadelle Hospital, CHU de Liège, University of Liège Belgium

Coppola, Gianluca; IRCCS - Fondazione Bietti, Research Unit of Neurophysiology of Vision and Neurophthalmology, Rome, Italy

Nonis, Romain; Headache Research Unit, CHR Citadelle Hospital, CHU de Liège, University of Liège Belgium

Maertens de Noordhout, Alain ; Centre Hospitalier Universitaire de Liège - CHU > > Service de neurologie (CHR)

Parisi, Vincenzo; IRCCS - Fondazione Bietti, Research Unit of Neurophysiology of Vision and Neurophthalmology, Rome, Italy

Magis, Delphine ; Université de Liège - ULiège > Département des sciences cliniques

Schoenen, Jean ; Centre Hospitalier Universitaire de Liège - CHU > > Service de neurologie (CHR)

Langue du document :

Anglais

Titre :

Headache Related Alterations of Visual Processing in Migraine Patients.

Date de publication/diffusion :

2020

Titre du périodique :

Journal of Pain

ISSN :

1526-5900

eISSN :

1528-8447

Maison d'édition :

Churchill Livingstone Inc., Etats-Unis

Volume/Tome :

Fascicule/Saison :

5-6

Pagination :

593 - 602

Peer reviewed :

Peer reviewed vérifié par ORBi

URL complémentaire :

https://api.elsevier.com/content/article/PII:S1526590019308223?httpAccept=text/xml

Subventionnement (détails) :

Funding: This project was part of the EUROHEADPAIN project - FP7 no. 602633 and received support from the Fonds d'Investissements de Recherche Scientifique (FIRS) of the CHU de Liège. GC was supported by the G.B. Bietti Foundation and the Italian Ministry of Health and Fondazione Roma.

Disponible sur ORBi :

depuis le 13 décembre 2022

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