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Working memory during spontaneous migraine attacks: an fMRI study

dc.contributor.authorRuiz-Tagle, A.
dc.contributor.authorFigueiredo, Patrícia
dc.contributor.authorPinto, Joana
dc.contributor.authorVilela, Pedro
dc.contributor.authorMartins, Isabel Pavão
dc.contributor.authorGil-Gouveia, Raquel
dc.date.accessioned2023-10-31T11:17:21Z
dc.date.available2023-10-31T11:17:21Z
dc.date.issued2024-03-01
dc.description.abstractObjective: To investigate the neural correlates of working memory during a spontaneous migraine attack compared to the interictal phase, using functional magnetic resonance imaging (fMRI). Background: Cognitive disturbances are commonly observed during migraine attacks, particularly in the headache phase. However, the neural basis of these changes remains unknown. Methods: In a fMRI within-subject test-retest design study, eleven women (32 years of age, average) with episodic migraine were evaluated twice, first during a spontaneous migraine attack, and again in a pain-free period. Each session consisted in a cognitive assessment and fMRI while performing a working memory task (N-back). Results: Cognitive test scores were lower during the ictal session than in the pain-free session. Regions typically associated with working memory were activated during the N-back task in both sessions. A voxel wise between session comparison showed significantly greater activation in the left frontal pole and orbitofrontal cortex during the attack relative to the interictal phase. Conclusion: Migraine patients exhibited greater activation of the left frontal pole and orbitofrontal cortex while executing a verbal working memory task during a spontaneous migraine attack when compared to the interictal state. Given the association of these regions with pain processing and inhibitory control, these findings suggest that patients recruit inhibitory areas to accomplish the cognitive task during migraine attacks, a neural signature of their cognitive difficulties.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.1007/s10072-023-07120-0pt_PT
dc.identifier.eid85174232135
dc.identifier.issn1590-1874
dc.identifier.pmid37847419
dc.identifier.urihttp://hdl.handle.net/10400.14/42938
dc.identifier.wos001091579100001
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectCognitionpt_PT
dc.subjectfMRIpt_PT
dc.subjectN-backpt_PT
dc.subjectSpontaneous migraine attackpt_PT
dc.subjectTest-retestpt_PT
dc.titleWorking memory during spontaneous migraine attacks: an fMRI studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage1208
oaire.citation.issue3
oaire.citation.startPage1201
oaire.citation.titleNeurological Sciencespt_PT
oaire.citation.volume45
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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