Cyclic Vomiting Syndrome is characterized by altered functional brain connectivity of the insular cortex: A cross-comparison with migraine and healthy adults.

Annals of tropical medicine and parasitology Pub Date : 2017-06-01 Epub Date: 2016-12-01 DOI:10.1111/nmo.13004
D-M Ellingsen, R G Garcia, J Lee, R L Lin, J Kim, A H Thurler, S Castel, L Dimisko, B R Rosen, N Hadjikhani, B Kuo, V Napadow
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Abstract

Cyclic Vomiting Syndrome (CVS) has been linked to episodic migraine, yet little is known about the precise brain-based mechanisms underpinning CVS, and whether these associated conditions share similar pathophysiology. We investigated the functional integrity of salience (SLN) and sensorimotor (SMN) intrinsic connectivity networks in CVS, migraine and healthy controls using brain functional Magnetic Resonance Imaging. CVS, relative to both migraine and controls, showed increased SLN connectivity to middle/posterior insula, a key brain region for nausea and viscerosensory processing. In contrast, this same region showed diminished SMN connectivity in both CVS and migraine. These results highlight both unique and potentially shared pathophysiology between these conditions, and suggest a potential target for therapeutics in future studies.

周期性呕吐综合征的特点是岛叶皮层的大脑功能连接发生改变:与偏头痛和健康成人的交叉比较
周期性呕吐综合征(CVS)与发作性偏头痛有关,但人们对 CVS 的确切脑机制以及这些相关疾病是否具有相似的病理生理学知之甚少。我们使用脑功能磁共振成像技术研究了 CVS、偏头痛和健康对照组的显著性(SLN)和感觉运动(SMN)内在连接网络的功能完整性。与偏头痛患者和对照组相比,CVS患者与中/后脑岛的SLN连接性增强,而中/后脑岛是恶心和视觉感觉处理的关键脑区。与此相反,在CVS和偏头痛患者中,同一区域的SMN连接性减弱。这些结果突显了这些病症之间既独特又潜在的共同病理生理学,并为今后的研究提出了潜在的治疗目标。
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来源期刊
Annals of tropical medicine and parasitology
Annals of tropical medicine and parasitology 医学-公共卫生、环境卫生与职业卫生
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