کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
8693863 1581671 2018 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
La acupuntura modula la actividad anormal del tronco del encéfalo en pacientes con migraña sin aura
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب مکمل و جایگزین
پیش نمایش صفحه اول مقاله
La acupuntura modula la actividad anormal del tronco del encéfalo en pacientes con migraña sin aura
چکیده انگلیسی
Migraine is a common neurological disease with a high prevalence and unsatisfactory treatment options. The specific pathophysiological mechanisms of migraine remain unclear, which restricts the development of effective treatments for this prevalent disorder. The aims of this study were to 1) compare the spontaneous brain activity differences between migraine without aura (MwoA) patients and healthy controls (HCs), using amplitude of low-frequency fluctuations (ALFF) calculation method, and 2) explore how an effective treatment (verum acupuncture) could modulate the ALFF of MwoA patients. One hundred MwoA patients and 46 matched HCs were recruited. Patients were randomized to 4 weeks' verum acupuncture, sham acupuncture, and waiting list groups. Patients had resting state blood oxygen level dependent functional magnetic resonance imaging (BOLD-fMRI) scan before and after treatment, while HCs only had resting state BOLD-fMRI scan at baseline. Headache intensity, headache frequency, self-rating anxiety and self-rating depression were used for clinical efficacy evaluation. Compared with HCs, MwoA patients showed increased ALFF in posterior insula and putamen/caudate, and reduced ALFF in rostral ventromedial medulla (RVM)/trigeminocervical complex (TCC). After longitudinal verum acupuncture treatment, the decreased ALFF of the RVM/TCC was normalized in migraine patients. Verum acupuncture and sham acupuncture have different modulation effects on ALFF of RVM/TCC in migraine patients. Our results suggest that impairment of the homeostasis of the trigeminovascular nociceptive pathway is involved in the neural pathophysiology of migraines. Effective treatments, such as verum acupuncture, could help to restore this imbalance.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Revista Internacional de Acupuntura - Volume 12, Issue 1, January–March 2018, Pages 29-32
نویسندگان
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