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Substudy 1 Blood-brain barrier breakdown has been proposed in migraine patients. Our hypothesis that we will test in this study is that the blood-brain barrier breaks down during migraine attacks but not out side attacks using MRI.
Substudy 2 Altered cerebral resting-state functional connectivity networks have been reported in migraine patients outside migraine attacks. What happens during migraine attacks has never been investigated. The hypothesis we will test is that pain related networks are affected during spontaneous attacks using functional MRI.
Substudy 3 Old studies report that cerebral blood flow (CBF) is altered in patients with migraine with aura, but not in those without aura. We hypothesize that CBF is altered regionally during attacks, which we will investigate in this study using arterial spin labeling (ASL).
Substudy 4 Structural changes using voxel-based morphometry (VBM) of the brain have been suggested but never investigated during migraine attacks. Our hypothesis is that pain related structures show altered VBM during spontaneous migraine attacks.
Brain MRI during and outside migraine attacks.
Up to 600 patients will be recruited, who will be given a phone number that they can call when they get migraine attacks.
The study will continue until 20 patients with migraine with aura, 20 patients without aura, 20 patients with chronic migraine have completed the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Migraine with aura | Brain MRI |
| |
| Migraine without aura | Brain MRI |
| |
| Chronic migraine | Brain MRI |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Brain MRI | Other | Brain MRI with gadolinium contrast |
|
| Measure | Description | Time Frame |
|---|---|---|
| Blood-brain barrier alteration during migraine attacks | Up to 1 year | |
| Cerebral blood flow alteration during migraine attacks | Up to 1 year | |
| Resting-state functional brain connectivity alteration during migraine attacks | Up to 1 year | |
| Voxel-based morphometry alteration during migraine attacks | Up to 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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Migraine patients.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Faisal M Amin, MD | Contact | +4538633066 | faisal.mohammad.amin.01@regionh.dk |
| Name | Affiliation | Role |
|---|---|---|
| Faisal M Amin, MD | Danish Headache Center, Glostrup Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Danish Headache Center, Glostrup Hospital | Recruiting | Glostrup Municipality | Copenhagen | 2600 | Denmark |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34418951 | Derived | Amin FM, De Icco R, Al-Karagholi MA, Raghava JM, Wolfram F, Larsson HBW, Ashina M. Investigation of cortical thickness and volume during spontaneous attacks of migraine without aura: a 3-Tesla MRI study. J Headache Pain. 2021 Aug 21;22(1):98. doi: 10.1186/s10194-021-01312-9. |
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| ID | Term |
|---|---|
| D020325 | Migraine with Aura |
| D020326 | Migraine without Aura |
| ID | Term |
|---|---|
| D008881 | Migraine Disorders |
| D051270 | Headache Disorders, Primary |
| D020773 | Headache Disorders |
| D001927 | Brain Diseases |
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Creatinine, blood glucose, potassium, haemoglobin, erytrocyte profile
| D002493 |
| Central Nervous System Diseases |
| D009422 | Nervous System Diseases |