BRIEF REPORT - BILATERAL SPREADING CEREBRAL HYPOPERFUSION DURING SPONTANEOUS MIGRAINE HEADACHE

被引:462
作者
WOODS, RP
IACOBONI, M
MAZZIOTTA, JC
机构
[1] UNIV CALIF LOS ANGELES, SCH MED, INST NEUROPSYCHIAT, DIV BRAIN MAPPING, LOS ANGELES, CA 90024 USA
[2] UNIV CALIF LOS ANGELES, SCH MED, DEPT PSYCHOL, LOS ANGELES, CA 90024 USA
[3] UNIV CALIF LOS ANGELES, SCH MED, DEPT PHARMACOL, LOS ANGELES, CA 90024 USA
[4] UNIV CALIF LOS ANGELES, SCH MED, DEPT RADIOL, LOS ANGELES, CA 90024 USA
关键词
D O I
10.1056/NEJM199412223312505
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Although decreases in regional cerebral blood flow are known to occur in relation to migraine headache, the pattern of the alterations in blood flow has not been precisely delineated. Olesen et al. have described a series of patients who had migraine headaches during serial cerebral blood-flow measurement by the intracarotid xenon-133 technique.1 They observed a pattern of localized decreases in flow that appeared to spread contiguously along the cerebral cortex. These observations were confirmed in subsequent studies,2,3 and with very few exceptions1,4 the pattern of “spreading oligemia” or “spreading hypoperfusion”5 has been apparent only in patients who have.  . . © 1994, Massachusetts Medical Society. All rights reserved.
引用
收藏
页码:1689 / 1692
页数:4
相关论文
共 40 条
[1]   EVALUATION OF A 3D RECONSTRUCTION ALGORITHM FOR MULTISLICE PET SCANNERS [J].
CHERRY, SR ;
DAHLBOM, M ;
HOFFMAN, EJ .
PHYSICS IN MEDICINE AND BIOLOGY, 1992, 37 (03) :779-790
[2]  
CHERRY SR, 1993, INT CONGR SER, V1030, P79
[3]   IMPROVED DETECTION OF FOCAL CEREBRAL BLOOD-FLOW CHANGES USING 3-DIMENSIONAL POSITRON EMISSION TOMOGRAPHY [J].
CHERRY, SR ;
WOODS, RP ;
HOFFMAN, EJ ;
MAZZIOTTA, JC .
JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM, 1993, 13 (04) :630-638
[5]   MIGRAINE WITH AURA, CEREBRAL-ISCHEMIA, SPREADING DEPRESSION, AND COMPTON SCATTER [J].
DALGAARD, P ;
KRONBORG, D ;
LAURITZEN, M .
HEADACHE, 1991, 31 (01) :49-51
[6]   CENTRAL SEROTONERGIC NERVES PROJECT TO THE PIAL VESSELS OF THE BRAIN [J].
EDVINSSON, L ;
DEGUEURCE, A ;
DUVERGER, D ;
MACKENZIE, ET ;
SCATTON, B .
NATURE, 1983, 306 (5938) :55-57
[7]   TRANSIENT HYPEREMIA SUCCEEDS OLIGEMIA IN THE WAKE OF CORTICAL SPREADING DEPRESSION [J].
FABRICIUS, M ;
LAURITZEN, M .
BRAIN RESEARCH, 1993, 602 (02) :350-353
[8]   STIMULUS RATE DEPENDENCE OF REGIONAL CEREBRAL BLOOD-FLOW IN HUMAN STRIATE CORTEX, DEMONSTRATED BY POSITRON EMISSION TOMOGRAPHY [J].
FOX, PT ;
RAICHLE, ME .
JOURNAL OF NEUROPHYSIOLOGY, 1984, 51 (05) :1109-1120
[9]   FOCAL ISCHEMIA CAUSED BY INSTABILITY OF CEREBROVASCULAR TONE DURING ATTACKS OF HEMIPLEGIC MIGRAINE - A REGIONAL CEREBRAL BLOOD-FLOW STUDY [J].
FRIBERG, L ;
OLSEN, TS ;
ROLAND, PE ;
LASSEN, NA .
BRAIN, 1987, 110 :917-934
[10]   COMMON MIGRAINE ATTACKS PRECEDED BY FOCAL HYPEREMIA AND PARIETAL OLIGEMIA IN THE RCBF PATTERN [J].
GELMERS, HJ .
CEPHALALGIA, 1982, 2 (01) :29-32