Habituation of laser-evoked potentials by migraine phase: a blinded longitudinal study

The Journal of Headache and Pain

Research Article

Petter Moe Omland¹  Marit Stjern¹  Trond Sand¹  Martin Uglem²  Gøril Bruvik Gravdahl³ 

[1] Department of Neuromedicine and Movement Science, NTNU, Norwegian University of Science and Technology, Trondheim, Norway;Department of Neurology and Clinical Neurophysiology, St. Olavs Hospital, Trondheim, Norway;Department of Neuromedicine and Movement Science, NTNU, Norwegian University of Science and Technology, Trondheim, Norway;NTNU, Faculty of Medicine and Health Sciences, P.B. 8905, N-7491, Trondheim, Norway;Norwegian Advisory Unit on Headaches, St. Olavs Hospital, Trondheim, Norway;

关键词: Headache;    Migraine cycle;    Pain;    Pathophysiology;    Preictal;    Ictal;    Premonitory;    Laser evoked potential;    Habituation;    LEP;   

DOI  :  10.1186/s10194-017-0810-6

 received in 2017-07-30, accepted in 2017-09-25,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundMigraineurs seem to have cyclic variations in cortical excitability in several neurophysiological modalities. Laser-evoked potentials (LEP) are of particular interest in migraine because LEP specifically targets pain pathways, and studies have reported different LEP-changes both between and during headaches. Our primary aim was to explore potential cyclic variations in LEP amplitude and habituation in more detail with a blinded longitudinal study design.MethodsWe compared N1 and N2P2 amplitudes and habituation between two blocks of laser stimulations to the dorsal hand, obtained from 49 migraineurs with four sessions each. We used migraine diaries to categorize sessions as interictal (> one day from previous and to next attack), preictal (< one day before the attack), ictal or postictal (< one day after the attack). Also, we compared 29 interictal recordings from the first session to 30 controls.ResultsN1 and N2P2 amplitudes and habituation did not differ between preictal, interictal and postictal phase sessions, except for a post hoc contrast that showed deficient ictal habituation of N1. Habituation is present and similar in migraineurs in the interictal phase and controls.ConclusionsHand-evoked LEP amplitudes and habituation were mainly invariable between migraine phases, but this matter needs further study. Because hand-evoked LEP-habituation was similar in migraineurs and controls, the present findings contradict several previous LEP studies. Pain-evoked cerebral responses are normal and show normal habituation in migraine.

【 授权许可】

CC BY   
© The Author(s). 2017