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Cover Page

The handle

http://hdl.handle.net/1887/137968

holds various files of this Leiden

University dissertation.

Author:

Hamming, A.M.

Title:

Spreading depolarizations, migraine and ischemia: A detrimental triangle in

subarachnoid hemorrhage and ischemic stroke?

(2)

Spreading depolarizations,

migraine and ischemia

A detrimental triangle in

subarachnoid hemorrhage

and ischemic stroke?

(3)

Spreading depolarizations,

migraine and ischemia

A detrimental triangle in

subarachnoid hemorrhage

and ischemic stroke?

Proefschrift

ter verkrijging van

de graad van Doctor aan de Universiteit Leiden,

op gezag van Rector Magnificus prof.mr. C.J.J.M. Stolker,

volgens besluit van het College voor Promoties

te verdedigen op donderdag 12 november 2020

klokke 15.00 uur

door

Arend Maarten Hamming

geboren te Amsterdam

in 1979

Copyright © A.M. Hamming, 2020

Cover image: © A.M. Hamming; Waves and sun while sailing on Jottum - 2019

Layout:

A.M. Hamming, thanks to Anouk de Jong

Printing:

UFB Grafische Producties

Printing of this thesis was financially supported by the Dutch Headache Society

Publisher:

Tim Gard

ISBN:

978-90-823440-7-3

All rights reserved. No part of this publication may be reproduced, stored or transmitted in any form or by

any means, without written permission of the copyright owner.

(4)

To Mirjam, Fenna and Maarten

the waves and sunshine in my life

Promotores

Prof. dr. M.J.H. Wermer

Prof. dr. R.M. Dijkhuizen, UMCU

Prof. dr. M.D. Ferrari

Promotiecommissie

Prof. dr. W.C. Peul

Prof. dr. J. Hofmeijer, Rijnstate

Prof. dr. G.J.E. Rinkel, UMCU

Dr. L. van der Weerd

(5)

Table of contents

Chapter 1

Introduction

09

Chapter 2

Spreading depolarizations increase delayed brain injury in a

rat model of subarachnoid hemorrhage

J Cereb Blood Flow Metab 2016 Jul; 36(7):1224-31

19

Chapter 3

Valproate reduces brain injury by spreading depolarizations in

a rat model of subarachnoid hemorrhage

Stroke 2017 Feb; 48(2):452-458

33

Chapter 4

Measurement of Distinctive Features of Cortical Spreading

Depolarizations with Different MRI Contrasts

NMR Biomed 2015 May; 28(5):591-600

51

Chapter 5

Spreading depolarization-modulating drugs and delayed

cerebral ischemia in patients with subarachnoid hemorrhage

J Neurol Sci 2016 Jul 15; 366:224-228

75

Chapter 6

Circle of Willis variations in migraine patients with ischemic

stroke

Brain Behav 2019 Mar 9(3):e01223

99

Chapter 7

Discussion

113

Addendum

References

127

Summary

145

Samenvatting

151

Acknowledgements

157

List of publications

161

Curriculum vitae

167

Abbreviations

ACA anterior cerebral artery ACM middle cerebral artery

ADC apparent diffusion coefficient (MR imaging) aHR adjusted hazard ratio

aOR adjusted odds ratios, adjusted for age and sex in this study aRR adjusted relative risk (ratio)

aSAH aneurysmal subarachnoid hemorrhage BOLD blood oxygenation level-dependent (MR imaging) b-SSFP balanced-steady-state-free-precession (MR imaging) CBF cerebral blood flow

CI confidence interval CoW circle of Willis

CT X-ray computerized axial tomography

CSD cortical spreading depression (of electrical activity) CTA CT angiography (imaging)

CTP CT perfusion (imaging) DC direct current

DCI delayed cerebral ischemia (after SAH) DUST Dutch acute Stroke Trial

DT2 multi-spin-echo (MR imaging) EEG electro encephalography fMRI functional MRI

FWHM Full width at half maximum/minimum GE3d-EPI a gradient-echo 3D echo-planar (MR) imaging HR hazard ratios

ICHD International Classification of Headache Disorders KCl potassium chloride

LDF Laser-Doppler Flowmetry MA migraine with aura MACC median artery corpus callosi

MISS Migraine Screener for Stroke (questionnaire) MO migraine without aura

MR(I) magnetic resonance (imaging) mRS modified Rankin Scale NaCl sodium chloride NCCT non-contrast CT

NIHSS National Institutes of Health Stroke Scale NIRS near infrared spectroscopy

OR odds ratios

PCA posterior cerebral artery Pcom posterior communicating artery RR relative risk (ratio)

SAH subarachnoid hemorrhage SD spreading depolarization TIA transient ischemic attack

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