P11.02 BRAIN WHITE MATTER LESIONS AND ARTERIAL WALL PARAMETERS IN MIGRAINE PATIENTS
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- 10.1016/j.artres.2010.10.115How to use a DOI?
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Background: Migraine is a benign neurological disease, however, some migraineurs develop asymptomatic lesions in the deep white matter (DWMLs) whose origins still need to be clarified.
Objective: To evaluate relationship between DWMLs and traditional cardiovascular risk factors, arterial wall parameters (carotid intima-media thickness, distensibility and stiffness (CS), augmentation index (AIx) and aortic pulse wave velocity) and right-to-left shunts (RLS) in migraine patients.
Methods: 114 active migraineurs (mean age 35.9±9.6 years, 22 (19.3%) males, 50 (43.9%) with aura) participated in the study. Magnetic resonance imaging was performed with a 1.5-T scanner. DWMLs load was assessed with Scheltens’ visual rating scale. Arterial wall parameters were measured by echo-tracking and applanation tonometry. RLS was assessed by contrast transcranial Doppler sonography with agitated saline. In order to explore the relationship between presence and load of DWMLs and possible risk factors logistic and linear regressions were applied.
Results: 29 (25.4%) migraineurs had DWMLs. They were significantly older (p<0.001), had more cardiovascular risk factors, thicker carotid intima-media (p=0.006), higher CS (p=0.004) and AIx (0.001) compared to migraineurs without DWMLs. The prevalence of large RLS was higher in patients with DWMLs, but not significant. The predictors of DWMLs were age (OR 1.11, p<0.001) and hypertension (OR 6.57, p=0.001). Higher DWMLs load was predicted by age, obesity, hypertension, and decreased HDL cholesterol. We established no relationship between presence and load of DWMLs and arterial wall parameters or RLS.
Conclusions: Age and traditional cardiovascular risk factors, but not arterial wall parameters, are predictors of DWMLs in patients with migraine.
Cite this article
TY - JOUR AU - K. Ryliskiene AU - D. Jatuzis AU - J. Usinskiene AU - M. Mataciunas AU - L. Ryliskyte AU - A. Laucevicius PY - 2010 DA - 2010/12/02 TI - P11.02 BRAIN WHITE MATTER LESIONS AND ARTERIAL WALL PARAMETERS IN MIGRAINE PATIENTS JO - Artery Research SP - 178 EP - 179 VL - 4 IS - 4 SN - 1876-4401 UR - https://doi.org/10.1016/j.artres.2010.10.115 DO - 10.1016/j.artres.2010.10.115 ID - Ryliskiene2010 ER -