Document Detail


Arterial spin-labeled MRI study of migraine attacks treated with rizatriptan.
MedLine Citation:
PMID:  20411294     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Spin-tag perfusion imaging is an MRI method that quantitatively measures cerebral blood flow. Compared with conventional perfusion techniques, advantages of this arterial spin-labeling (ASL) include repeatability and the avoidance of intravenous contrast administration. In the present study, we performed an analysis of 3T high-field MRI examinations utilizing ASL perfusion during migraine attacks. A 32-year-old male patient was studied in three situations: during migraine attack within 1 h post-onset, 30 min after oral administration of rizatriptan 10 mg, and attack-free period. Normalized ASL images acquired during migraine attack showed significant relative hypoperfusion in the bilateral median thalamic areas including hypothalamus and significant relative hyperperfusion in the frontal cortex compared to images acquired during the migraine-free state. When normalized ASL images acquired 30 min after treatment were compared with those acquired during the attack, relative improvement of perfusion in the bilateral median thalamic areas including hypothalamus was observed. Hypothalamus and its surrounding areas may participate in the pathogenesis in migraine attack.
Authors:
Yuji Kato; Nobuo Araki; Hiroshi Matsuda; Yasuo Ito; Chihiro Suzuki
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-04-22
Journal Detail:
Title:  The journal of headache and pain     Volume:  11     ISSN:  1129-2377     ISO Abbreviation:  J Headache Pain     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-10     Completed Date:  2010-08-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100940562     Medline TA:  J Headache Pain     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  255-8     Citation Subset:  IM    
Affiliation:
Department of Neurology and Cerebrovascular Medicine, Saitama International Medical Center, Saitama Medical University, 1397-1 Yamane, Hidaka, Saitama 350-1298, Japan. yujik@saitama-med.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Cerebral Arteries / drug effects,  physiopathology
Cerebrovascular Circulation / drug effects*,  physiology
Cerebrovascular Disorders / drug therapy,  physiopathology
Functional Laterality / physiology
Humans
Hyperemia / drug therapy,  physiopathology
Hypothalamus / blood supply,  drug effects,  physiopathology*
Magnetic Resonance Imaging / methods*
Male
Migraine Disorders / diagnosis,  drug therapy*,  physiopathology*
Prefrontal Cortex / blood supply,  drug effects,  physiopathology
Serotonin Agonists / pharmacology,  therapeutic use
Thalamus / blood supply,  drug effects,  physiopathology
Time Factors
Treatment Outcome
Triazoles / pharmacology*,  therapeutic use
Tryptamines / pharmacology*,  therapeutic use
Chemical
Reg. No./Substance:
0/Serotonin Agonists; 0/Triazoles; 0/Tryptamines; 145202-66-0/rizatriptan

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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