Cerebral blood flow velocity in migraine and chronic tension-type headache patients

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Karacay Ozkalayci S., NAZLIEL B., BATUR ÇAĞLAYAN H. Z., Irkec C.

Journal of Pain Research, vol.11, pp.661-666, 2018 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 11
  • Publication Date: 2018
  • Doi Number: 10.2147/jpr.s144183
  • Journal Name: Journal of Pain Research
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.661-666
  • Keywords: cerebral blood flow, migraine without aura, migraine with aura, tension-type headache, transcranial Doppler ultrasonography, INTERICTAL CEREBROVASCULAR REACTIVITY, TRANSCRANIAL DOPPLER EVALUATION, VASCULAR REACTIVITY, ULTRASONIC FEATURES, CLASSIC MIGRAINE, CO2 REACTIVITY, ATTACKS, HEMODYNAMICS, AURA
  • Lokman Hekim University Affiliated: No

Abstract

© 2018 Karacay Ozkalayci et al.Introduction: The present study seeks to use transcranial Doppler ultrasound to evaluate cerebral blood flow velocities in anterior and posterior circulation arteries, during an attack-free episode in migraine patients, with and without aura, as well as in chronic tension-type headache patients who were not receiving prophylactic medication. Methods: A total of 50 patients (35 female, 15 male) were evaluated during a headache-free episode: 30 migraine patients without aura (mean age: 32±8 years), 10 migraine patients with aura (mean age: 34±4 years), and 10 patients with chronic tension-type headache (mean age: 34±5 years). Results: No significant difference was present between anterior, middle, and posterior cerebral and vertebral arteries’ blood flow velocities between migraine patients, with and without aura, or in patients with a tension-type headache, and normal controls (p>0.05). However, a significant increase in basilar artery cerebral blood flow velocities relative to controls was present in patients with a tension-type headache (p>0.001). Conclusion: It is difficult to predict the main reason for the significant increase in basilar artery blood flow velocities in patients with chronic tension-type headache. It may be due to constriction of conductance or the dilatation of the resistance vessels.