دورية أكاديمية

Association between vertebral artery dominance and basilar artery curvature in migraineurs: an anatomical magnetic resonance imaging study.

التفاصيل البيبلوغرافية
العنوان: Association between vertebral artery dominance and basilar artery curvature in migraineurs: an anatomical magnetic resonance imaging study.
المؤلفون: Otu E; Department of Anatomy, School of Medicine, Istanbul Medipol University, Istanbul, Turkey., Şen S; Department of Anatomy, School of Medicine, Istanbul Medipol University, Istanbul, Turkey., Örmeci T; Department of Radiology, Istanbul Medipol University, Istanbul, Turkey., Yüzbaşıoğlu N; Department of Anatomy, School of Medicine, Istanbul Medipol University, Istanbul, Turkey.
المصدر: The neuroradiology journal [Neuroradiol J] 2024 Jun; Vol. 37 (3), pp. 314-322. Date of Electronic Publication: 2023 Dec 28.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Sage Publications Country of Publication: United States NLM ID: 101295103 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2385-1996 (Electronic) Linking ISSN: 19714009 NLM ISO Abbreviation: Neuroradiol J Subsets: MEDLINE
أسماء مطبوعة: Publication: 2015- : Thousand Oaks, CA : Sage Publications
Original Publication: Bologna : Centauro
مواضيع طبية MeSH: Vertebral Artery*/diagnostic imaging , Basilar Artery*/diagnostic imaging , Basilar Artery*/pathology , Migraine Disorders*/diagnostic imaging , Magnetic Resonance Imaging*/methods, Humans ; Adult ; Female ; Male ; Middle Aged ; Cross-Sectional Studies ; Adolescent ; Young Adult ; Case-Control Studies
مستخلص: Background and Purposes: Numerous studies demonstrate a link between cerebrovascular alterations and migraine pathogenesis. We investigated the association between migraine and vertebral artery dominance (VAD), basilar artery (BA) curvature, and elongation.
Materials and Methods: This cross-sectional MRI study included 74 migraine patients and 74 control subjects aged between 18 and 55 years. Diameters of the intracranial part of the vertebral artery (VA) and BA, height of the BA bifurcation, and total lateral displacement of the BA were measured. In addition, we investigated the directional relationship between VAD and BA curvature.
Results: There were no statistically significant differences between the groups regarding VA and BA diameters and total lateral displacement of the BA. The height of the BA bifurcation was found to be significantly higher in migraine patients compared to controls ( p = 0.002). The left-side VAD was more frequent in migraine patients compared to control subjects (60.8% (45/74) vs 41.9% (31/74), p = 0.001). In migraine patients, particularly those with aura (MwA) patients, with left-side VAD, the rate of BA displacement to the right side is significantly higher than those with right-side VAD or non-VAD ( p = 0.022). Also, we found that total lateral displacement of the BA is correlated with VA asymmetry in patients with MwA (r = 0.538, p = 0.007).
Conclusion: VAD and its opposite-directional relationship with the lateral displacement of the BA may be associated with migraine pathophysiology. Together with aging, this association may contribute to changes in the vertebrobasilar system (VBS) geometry which may result in increased risk for posterior circulation infarction (PCI) in migraineurs.
Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
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فهرسة مساهمة: Keywords: Migraine; basilar artery curvature; magnetic resonance imaging; vertebral artery dominance; vertebrobasilar
تواريخ الأحداث: Date Created: 20231228 Date Completed: 20240516 Latest Revision: 20240601
رمز التحديث: 20240601
مُعرف محوري في PubMed: PMC11138339
DOI: 10.1177/19714009231224444
PMID: 38153033
قاعدة البيانات: MEDLINE
الوصف
تدمد:2385-1996
DOI:10.1177/19714009231224444