Migraine and brain lesions. Data from the population-based CAMERA Study
Kruit, Mark Christian
Citation
Kruit, M. C. (2010, January 20). Migraine and brain lesions. Data from the population-based CAMERA Study. Department of Radiology, Faculty of Medicine, Leiden University Medical Center (LUMC), Leiden University.
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ABBREVIATIONS
AICA anteriorinferiorcerebellar
artery
ANS autonomicnervoussystem
BBB bloodbrainbarrier
BMI bodymassindex
BP bloodpressure
CAMERA CerebralAbnormalitiesin
Migraine,anEpidemiological
RiskAnalysis
CI confidenceinterval
CSD corticalspreadingdepression
CSF cerebrospinalfluid
CSM carotidsinusmassage
CT computedtomography
DLB dementiawitLewybodies
DWML deepwhitematterlesion
FLAIR fluidattenuatedinversion
recovery
GEM geneticepidemiologyof
migraine
ICC intraclasscorrelation
coefficients
IHL infratentorialhyperintense
lesion
IHS internationalheadache
society
ILL infarctlikelesion
MA migrainewithaura
MO migrainewithoutaura
MRI magneticresonanceimaging
OC oralcontraceptives
OH orthostatichypotension
OI orthostaticinsufficiency
OR oddsratio
PAG periaqueductalgreymatter
PC/PCT posteriorcirculationterritory
PD protondensity
PFO patentforamenovale
PHL pontinehyperintenselesion
PICA posteriorinferiorcerebellar
arteriy
POTS posturaltachycardia
syndrome
PVWML periventricularwhitematter
lesion
rCBF regionalcerebralbloodflow
RR relativerisk
SCA superiorcerebellarartery
SN substantianigra
TIA transientischemicattack
WML whitematterhyperintense
lesions
IHSDiagnosticCriteria–ICHDII
DIAGNOSTICCRITERIA–ICHDII
TheInternationalClassificationofHeadacheDisorders,2
ndedition
31.MIGRAINE
1.1 Migrainewithoutaura
1.2 Migrainewithaura
1.2.1 Typicalaurawithmigraine
headache
1.2.2 Typicalaurawithnonmigraine
headache
1.2.3 Typicalaurawithoutheadache
1.2.4 Familialhemiplegicmigraine
(FHM)
1.2.5 Sporadichemiplegicmigraine
1.2.6 Basilartypemigraine
1.3 Childhood periodic syndromes that are
commonlyprecursorsofmigraine
1.3.1 Cyclicalvomiting
1.3.2 Abdominalmigraine
1.3.3 Benignparoxysmalvertigoof
childhood
1.4 Retinalmigraine
1.5 Complicationsofmigraine
1.5.1 Chronicmigraine
1.5.2 Statusmigrainosus
1.5.3 Persistentaurawithoutinfarc
tion
1.5.4 Migrainousinfarction
1.5.5 Migrainetriggeredseizure
1.6 Probablemigraine
1.6.1 Probablemigrainewithoutaura
1.6.2 Probablemigrainewithaura
1.6.5 Probablechronicmigraine
1.1MIGRAINEWITHOUTAURA
Previouslyusedterms:
Commonmigraine,hemicraniasimplex
Description:
Recurrent headache disorder manifesting in attacks lasting 4–72 hours. Typical characteristics of
theheadache are unilaterallocation,pulsatingquality,moderateorsevereintensity,aggravation
byroutinephysicalactivityandassociationwithnauseaand/orphotophobiaandphonophobia.
Diagnosticcriteria:
A. Atleast5attacksfulfillingcriteriaB–D
B. Headacheattackslasting4–72hours(untreatedorunsuccessfullytreated)
C. Headachehasatleasttwoofthefollowingcharacteristics:
1. unilaterallocation
2. pulsatingquality
3. moderateorseverepainintensity
4. aggravationbyorcausingavoidanceofroutinephysicalactivity
(e.g.,walkingorclimbingstairs)
D. Duringheadacheatleastoneofthefollowing:
1.nauseaand/orvomiting
2.photophobiaandphonophobia
E. Notattributedtoanotherdisorder
1.2MIGRAINEWITHAURA
Previouslyusedterms:
Classic or classical migraine, ophthalmic, hemiparaesthetic, hemiplegic or aphasic migraine, mi
graineaccompagnée,complicatedmigraine
Description:
Recurrent disorder manifesting in attacks of reversible focal neurological symptoms that usually
developgraduallyover5–20minutesandlastforlessthan60minutes.Headachewiththefeatures
of migraine without aura usually follows the aura symptoms. Less commonly, headache lacks
migrainousfeaturesoriscompletelyabsent.
Diagnosticcriteria:
A. Atleast2attacksfulfillingcriterionB
B. MigraineaurafulfillingcriteriaBandCforoneofthesubforms1.2.1–1.2.6
C. Notattributedtoanotherdisorder
IHSDiagnosticCriteria–ICHDII
1.2.1TYPICALAURAWITHMIGRAINEHEADACHE
Description:
Typical aura consisting of visual and/or sensory and/or speech symptoms. Gradual development,
durationnolongerthanonehour,amixofpositiveandnegativefeaturesandcompletereversibil
ity characterise the aura which is associated with a headache fulfilling criteria for 1.1 Migraine
withoutaura.
Diagnosticcriteria:
A. Atleast2attacksfulfillingcriteriaB–D
B. Auraconsistingofatleastoneofthefollowing,butnomotorweakness:
1. fullyreversiblevisualsymptomsincludingpositivefeatures(e.g.,flickeringlights,spotsor
lines)and/ornegativefeatures(i.e.,lossofvision)
2. fullyreversiblesensorysymptomsincludingpositivefeatures(i.e.,pinsandneedles)
and/ornegativefeatures(i.e.,numbness)
3. fullyreversibledysphasicspeechdisturbance
C. Atleasttwoofthefollowing:
1. homonymousvisualsymptoms1and/orunilateralsensorysymptoms
2. atleastoneaurasymptomdevelopsgraduallyover5minutesand/ordifferentaura
symptomsoccurinsuccessionover5minutes
3. eachsymptomlasts5and60minutes
D. HeadachefulfillingcriteriaB–Dfor1.1Migrainewithoutaurabeginsduringtheauraorfollows
aurawithin60minutes
E. Notattributedtoanotherdisorder
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x LambHJ,DoornbosJ,vanderVeldeEA,Kruit
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x EdwardsMJ,FrankemaSP,KruitMC,BodePJ,
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radiographyfortraumavictims:Does
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x KruitMC,vanBuchemMA,HofmanPA,Bakkers
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x KruitMC,LaunerLJ,FerrariMD,vanBuchem
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x KruitMC,LaunerLJ,vanBuchemMA,Terwindt
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WhiteMatterLesions,SilentInfarctions,and
IschemicStroke:TheEvidenceforaLink.
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x KruitMC,LaunerLJ,vanBuchemMA,Terwindt
GM,FerrariMD.MRIfindingsinmigraine.
Rev.Neurol.(Paris)2005;6615.
x KruitMC,LaunerLJ,FerrariMD,vanBuchem
MA.Brainstemandcerebellarhyperintense
lesionsinmigraine.Stroke2006;110912.
x ScherAI,TerwindtGM,VerschurenWM,Kruit
MC,BlomHJ,KowaH,FrantsRR,vanden
MaagdenbergAM,vanBuchemM,FerrariMD,
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x ThijsRD1,KruitMC1,vanBuchemMA,Ferrari
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x SchmitzN,AdmiraalBehloulF,ArkinkEB,Kruit
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MA.Attackfrequencyanddiseasedurationas
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x SchmitzN,ArkinkEB,MulderM,RubiaK,
AdmiraalBehloulF,SchoonmanGG,KruitMC,
FerrariMD,vanBuchemMA.Frontallobe
structureandexecutivefunctioninmigraine
patients.NeuroscienceLetters2008;92–96.
x KruitMC,LaunerLJ,OverboschJ,vanBuchem
MA,FerrariMD.Ironaccumulationindeep
brainnucleiinmigraine.Apopulationbased
MagneticResonanceImagingstudy.
Cephalalgia2008;29:351–359.
x WilbrinkLA,FerrariMD,KruitMC,HaanJ.
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cephalgias:when,how,andofwhat?
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x KruitMC,vanBuchemMA,LaunerLJ,Terwindt
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Cephalalgia2009,June9.