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Is there a relationship between white matter lesions associated with migraine and patent foramen ovale? Analysis of a series of patients with chronic migraine [¿Existe relación entre las lesiones de la sustancia blanca asociadas a migraña y el foramen oval permeable? Análisis de una serie de pacientes con migraña crónica]

dc.contributor.authorLarrosa-Campo D.
dc.contributor.authorMeilán-Martínez Á.
dc.contributor.authorRamón-Carbajo C.
dc.contributor.authorSantamarta-Liébana E.
dc.contributor.authorSaiz-Ayala A.
dc.contributor.authorMartínez-Camblor P.
dc.contributor.authorCernuda-Morollón E.
dc.contributor.authorPascual J.
dc.date.accessioned2020-09-02T22:21:16Z
dc.date.available2020-09-02T22:21:16Z
dc.date.issued2020
dc.identifier10.33588/RN.7010.2019435
dc.identifier.citation70, 10, 372-378
dc.identifier.issn02100010
dc.identifier.urihttps://hdl.handle.net/20.500.12728/5052
dc.descriptionIntroduction. White matter lesions are more prevalent in migraine patients than in the general population, especially those with a high frequency of attacks. A patent foramen ovale has been described as a possible link between migraine and white matter lesions. Aim. To determine the existence of a possible relationship between a patent foramen ovale and white matter lesions in a series of patients with chronic migraine. Patients and methods. Observational, single-centre, case-control study. Eighty-nine women with chronic migraine were selected. The persistence and characteristics of the patent foramen ovale were assessed by means of a transcranial Doppler study. The patent foramen ovale was classified as small, moderate or massive. Those detected at rest were considered permanent, and the others were classified as latent. The MRI protocol included T1-enhanced sagittal images, FLAIR-T2enhanced axial images, and a proton density and T2-FSE combined sequence. The white matter lesions were classified as deep, periventricular or both. Results. The prevalence of patent foramen ovale (53.6% versus 48.5%; p = 0.80) and the proportion of massive, permanent patent foramen ovale were similar among patients with and without white matter lesions. Neither was there any difference in the prevalence (55.6% versus 52.6%; p = 1.00) or the characteristics of the patent foramen ovale as a function of the distribution of white matter lesions. Conclusion. The results do not suggest that a patent foramen ovale intervenes in the pathophysiology of the white matter lesions observed in patients with migraine. © 2020 Revista de Neurología
dc.language.isoes
dc.publisherRevista de Neurologia
dc.subjectMagnetic resonance
dc.subjectMigraine
dc.subjectParadoxical embolism
dc.subjectPatent foramen ovale
dc.subjectTranscranial Doppler ultrasonography
dc.subjectWhite matter lesions
dc.subjectArticle
dc.subjectcase control study
dc.subjectchronic disease
dc.subjectcontrolled study
dc.subjectdensity
dc.subjectdisease association
dc.subjectfemale
dc.subjecthuman
dc.subjecthypothalamus periventricular nucleus
dc.subjectimage analysis
dc.subjectimage enhancement
dc.subjectmajor clinical study
dc.subjectobservational study
dc.subjectpatent foramen ovale
dc.subjectpathophysiology
dc.subjectprevalence
dc.subjecttranscranial Doppler ultrasonography
dc.subjecttransformed migraine
dc.subjectwhite matter lesion
dc.titleIs there a relationship between white matter lesions associated with migraine and patent foramen ovale? Analysis of a series of patients with chronic migraine [¿Existe relación entre las lesiones de la sustancia blanca asociadas a migraña y el foramen oval permeable? Análisis de una serie de pacientes con migraña crónica]
dc.typeArticle


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