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1.
Brain Cogn ; 167: 105969, 2023 04.
Artículo en Inglés | MEDLINE | ID: mdl-36958141

RESUMEN

The developmental trajectories of brain oscillations during the encoding and maintenance phases of a Working Memory (WM) task were calculated. The Delayed-Match-to-Sample Test (DMTS) was applied to 239 subjects of 6-29 years, while EEG was recorded. The Event-Related Spectral Perturbation (ERSP) was obtained in the range between 1 and 25 Hz during the encoding and maintenance phases. Behavioral parameters of reaction times (RTs) and response accuracy were simultaneously recorded. The results indicate a myriad of transient and sustained bursts of oscillatory activity from low frequencies (1 Hz) to the beta range (up to 19 Hz). Beta and Low-frequency ERSP increases were prominent in the encoding phase in all age groups, while low-frequency ERSP indexed the maintenance phase only in children and adolescents, but not in late adolescents and young adults, suggesting an age-dependent neural mechanism of stimulus trace maintenance. While the latter group showed Beta and Alpha indices of anticipatory attention for the retrieval phase. Mediation analysis showed an important role of early Delta-Theta and late Alpha oscillations for mediation between age and behavioral responses performance. In conclusion, the results show a complex pattern of oscillatory bursts during the encoding and maintenance phases with a consistent pattern of developmental changes.


Asunto(s)
Desarrollo del Adolescente , Memoria a Corto Plazo , Adulto Joven , Adolescente , Humanos , Niño , Memoria a Corto Plazo/fisiología , Electroencefalografía , Encéfalo/fisiología , Tiempo de Reacción
2.
Entropy (Basel) ; 23(3)2021 Mar 15.
Artículo en Inglés | MEDLINE | ID: mdl-33804068

RESUMEN

The auditory mismatch negativity (MMN) has been considered a preattentive index of auditory processing and/or a signature of prediction error computation. This study tries to demonstrate the presence of an MMN to deviant trials included in complex auditory stimuli sequences, and its possible relationship to predictive coding. Additionally, the transfer of information between trials is expected to be represented by stimulus-preceding negativity (SPN), which would possibly fit the predictive coding framework. To accomplish these objectives, the EEG of 31 subjects was recorded during an auditory paradigm in which trials composed of stimulus sequences with increasing or decreasing frequencies were intermingled with deviant trials presenting an unexpected ending. Our results showed the presence of an MMN in response to deviant trials. An SPN appeared during the intertrial interval and its amplitude was reduced in response to deviant trials. The presence of an MMN in complex sequences of sounds and the generation of an SPN component, with different amplitudes in deviant and standard trials, would support the predictive coding framework.

3.
Neurosci Lett ; 798: 137100, 2023 02 28.
Artículo en Inglés | MEDLINE | ID: mdl-36720344

RESUMEN

The present report analyzed the time-frequency changes in Event-Related Spectral perturbations (ERSP) in a sample of ADHD children and adolescents compared to a normodevelopment (ND) sample. A delayed match-to-sample (DMTS) test of working memory (WM) was presented to a group of ADHD subjects (N = 29) and compared with ND group (N = 34) with ages between 6 and 17 years old. Time-frequency decomposition was computed through wavelets. ADHD subjects presented higher Reaction Time (RT), Standard Deviation of RT (Std of RT), and a reduced percentage of correct responses. The results showed a complex pattern of oscillatory bursts during the encoding, maintenance, and recognition phases with similar dynamics in both groups. ADHD children presented a reduced Event-Related Synchronization (ERS) in the Theta range during the encoding phase, and also a reduced Alpha ERS during the late period of the maintenance phase. S1 Early theta ERS was positively correlated with Std of RT. Behavioral data, early Theta, and late Alpha ERS classified correctly above 70 % of ADHD and ND subjects when a linear discriminant analysis was applied. The reduced encoding and maintenance impaired brain dynamics of ADHD subjects would justify the poorer performance of this group of subjects.


Asunto(s)
Trastorno por Déficit de Atención con Hiperactividad , Memoria a Corto Plazo , Adolescente , Niño , Humanos , Trastorno por Déficit de Atención con Hiperactividad/fisiopatología , Encéfalo , Electroencefalografía , Memoria a Corto Plazo/fisiología , Tiempo de Reacción/fisiología
4.
Brain Sci ; 13(11)2023 Oct 31.
Artículo en Inglés | MEDLINE | ID: mdl-38002498

RESUMEN

BACKGROUND: The present report tries to understand the possible relationship between working memory (WM) and intelligence measurements, using the direct scores of the Working Memory Test Battery for Children (WMTBC) and Kaufman's Brief Intelligence Test (K-BIT), in normal development (ND) and diagnosed attention deficit hyperactivity disorder (ADHD) children and adolescents. RESULTS: Partial correlations, discounting the effect of age, showed a significant correlation in ND subjects between the central executive (CE) component of WM and the WM visuospatial sketchpad (VSS) component and the WM phonological loop (PL); also, significant correlations were obtained for the WM VSS with the K-BIT Matrices scores, the WM PL with the K-BIT Vocabulary, and the K-BIT Matrices scores with the K-BIT Vocabulary. For ADHD subjects, there were significant correlations between WM VSS and WM CE, and WM VSS and K-BIT Matrices. We tested the robustness of these correlations by selecting a small number of subjects through permutations; a robust correlation between WM CE and WM PL in ND, and between WM VSS and WM CE and WM VSS and K-BIT Matrices scores was obtained. These results were also supported by mediation analysis. CONCLUSIONS: There is a relationship during development between WM as measured with WMTBC and general intelligence as measured with K-BIT in ND and ADHD subjects. The dysexecutive character of ADHD has been shown, given that by controlling for intelligence, the differences in WM performance between ND and ADHD disappear, except for WM CE. The results suggest that in ADHD subjects, the WM VSS component presents a more pivotal role during cognitive processing compared to ND subjects.

5.
Brain Behav ; 11(12): e2415, 2021 12.
Artículo en Inglés | MEDLINE | ID: mdl-34758203

RESUMEN

INTRODUCTION: Recent studies support the identification of valid subtypes within schizophrenia and bipolar disorder using cluster analysis. Our aim was to identify meaningful biotypes of psychosis based on network properties of the electroencephalogram. We hypothesized that these parameters would be more altered in a subgroup of patients also characterized by more severe deficits in other clinical, cognitive, and biological measurements. METHODS: A clustering analysis was performed using the electroencephalogram-based network parameters derived from graph-theory obtained during a P300 task of 137 schizophrenia (of them, 35 first episodes) and 46 bipolar patients. Both prestimulus and modulation of the electroencephalogram were included in the analysis. Demographic, clinical, cognitive, structural cerebral data, and the modulation of the spectral entropy of the electroencephalogram were compared between clusters. Data from 158 healthy controls were included for further comparisons. RESULTS: We identified two clusters of patients. One cluster presented higher prestimulus connectivity strength, clustering coefficient, path-length, and lower small-world index compared to controls. The modulation of clustering coefficient and path-length parameters was smaller in the former cluster, which also showed an altered structural connectivity network and a widespread cortical thinning. The other cluster of patients did not show significant differences with controls in the functional network properties. No significant differences were found between patients´ clusters in first episodes and bipolar proportions, symptoms scores, cognitive performance, or spectral entropy modulation. CONCLUSION: These data support the existence of a subgroup within psychosis with altered global properties of functional and structural connectivity.


Asunto(s)
Trastorno Bipolar , Trastornos Psicóticos , Esquizofrenia , Encéfalo/diagnóstico por imagen , Electroencefalografía , Entropía , Humanos , Imagen por Resonancia Magnética , Trastornos Psicóticos/psicología
6.
Front Psychol ; 10: 1424, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31275215

RESUMEN

In this study, we asked whether the event-related potentials associated to cue and target stimuli of a Central Cue Posner Paradigm (CCPP) may encode key parameters of Bayesian inference - prior expectation and surprise - on a trial-by-trial basis. Thirty-two EEG channel were recorded in a sample of 19 young adult subjects while performing a CCPP, in which a cue indicated (validly or invalidly) the position of an incoming auditory target. Three different types of blocks with validities of 50%, 64%, and 88%, respectively, were presented. Estimates of prior expectation and surprise were obtained on a trial-by-trial basis from participants' responses, using a computational model implementing Bayesian learning. These two values were correlated on a trial-by-trial basis with the EEG values in all the electrodes and time bins. Therefore, a Spearman correlation metrics of the relationship between Bayesian parameters and the EEG was obtained. We report that the surprise parameter was able to classify the different validity blocks. Furthermore, the prior expectation parameter showed a significant correlation with the EEG in the cue-target period, in which the Contingent Negative Variation develops. Finally, in the post-target period the surprise parameter showed a significant correlation in the latencies and electrodes in which different event-related potentials are induced. Our results suggest that Bayesian parameters are coded in the EEG signals; and namely, the CNV would be related to prior expectation, while the post-target components P2a, P2, P3a, P3b, and SW would be related to surprise. This study thus provides novel support to the idea that human electrophysiological neural activity may implement a (Bayesian) predictive processing scheme.

7.
Int J Psychophysiol ; 134: 52-61, 2018 12.
Artículo en Inglés | MEDLINE | ID: mdl-30342061

RESUMEN

Global and local probability effects were explored in a visuo-auditory version of the central cue Posner's paradigm through the analysis of the neural Event-Related Potentials (ERPs) generated in the interaction between validity sequence effects (local probability) and block validity effects (global probability). Four behavioral measures (response times, correct/incorrect anticipations, and incorrect responses), three pre-target ERPs (visual P1/N1 and Contingent Negative Variation (CNV)), and six post-target ERPs (auditory N1, P2, Processing Negativity (PN), P3a, P3b and Late Slow Positivity (LSP)) were considered. Four types of trial-sequences (Valid-Valid, Invalid-Valid, Invalid-Invalid, Valid-Invalid) and three types of trial-blocks, with different validity/invalidity proportions (50%, 68%, and 86% of valid trials), were employed. Present data replicate previous reports on the validity sequence effects on ERPs (local probability): (i) higher CNV on trials preceded by valid trials; (ii) higher PN on valid trials preceded by invalid trials compared to valid trials preceded by valid trials; and (iii) higher P3a/P3b and LSP on invalid trials preceded by valid trials compared to invalid trials preceded by invalid trials. In summary, local probability showed more effects modulating the brain responses than global probability and/or their interaction. Among a number of other hypotheses, the functional systems theory would account for the ability of the previous trial to modify processing in the current trial.


Asunto(s)
Anticipación Psicológica/fisiología , Atención/fisiología , Corteza Cerebral/fisiología , Señales (Psicología) , Potenciales Evocados/fisiología , Desempeño Psicomotor/fisiología , Tiempo de Reacción/fisiología , Adulto , Electroencefalografía , Potenciales Relacionados con Evento P300/fisiología , Potenciales Evocados Auditivos/fisiología , Femenino , Humanos , Masculino , Probabilidad , Reproducibilidad de los Resultados , Adulto Joven
8.
Cogn Neurodyn ; 12(3): 255-269, 2018 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-29765476

RESUMEN

The possibility that power-to-power (theta-beta) frequency coupling increases during development was analyzed. Three minutes of spontaneous EEG in an open eyes condition were recorded in a sample of 160 subjects ranging from 6 to 26 years old. Theta (4-7 Hz) and beta band (15-20 Hz) power was calculated in a trial-by-trial basis. Inter-electrode power correlations (IPC) were computed in each subject as the correlation between the power of two frequency bands recorded in two electrodes. An increase in theta-beta IPC with age was obtained. IPCs were higher when theta was seeded in posterior regions than in anterior or central regions. Moreover, the significant correlations between each individual IPC and age were calculated, making it possible to draw IPC versus age correlation maps in order to capture the IPC development topography. An increase was found in significant correlations in the left hemisphere compared to the right hemisphere. There were no differences in the inter-hemispheric versus intra-hemispheric IPC maturation spatial patterns. An increase in power-to-power-frequency coupling in theta-beta occurs during development, suggesting an increase in functional connectivity with age. Frequency coupling between theta and beta rhythms would be one of the mechanisms facilitating integration of long distance functional networks during development.

9.
Rev Neurosci ; 29(3): 261-282, 2018 03 28.
Artículo en Inglés | MEDLINE | ID: mdl-29176031

RESUMEN

Working memory (WM) is an important cognitive function that is necessary to perform our daily activities. The present review briefly describes the most accepted models underlying WM and the neural networks involved in its processing. The review focuses on how the neurophysiological mechanisms develop with age in the periods from childhood to adolescence and young adulthood. Studies using behavioral, neuroimaging, and electrophysiological techniques showed the progress of WM throughout the development. The present review focuses on the neurophysiology of the basic processes underlying WM operations, as indicated by electroencephalogram-derived signals, in order to take advantage of the excellent time resolution of this technique. Children and adults use similar cerebral mechanisms and areas to encode, recognize, and keep the stimuli in memory and update the WM contents, although adults rely more on anterior sites. The possibility that a functional reorganization of WM brain processing occurs around the adolescent period is suggested, and would partly justify the high prevalence of the emergence of mental pathology in the adolescent period.


Asunto(s)
Envejecimiento/fisiología , Ondas Encefálicas/fisiología , Encéfalo/fisiología , Memoria a Corto Plazo/fisiología , Adolescente , Niño , Electroencefalografía , Humanos , Adulto Joven
10.
Neuropsychologia ; 95: 215-226, 2017 01 27.
Artículo en Inglés | MEDLINE | ID: mdl-28025015

RESUMEN

Working memory is an important cognitive function, and it is crucial to better understand its neurophysiological mechanisms. The developmental trajectories of the Event Related Potentials related to this important function have hardly been studied. However, these ERPs may provide some clues about the individual state of maturation, as has been demonstrated for anatomical brain images. The present study aims to determine the behavioral and neurophysiological development of Working Memory (WM) processes. For this purpose, 170 subjects with ages ranging from 6 to 26 years performed a visual Delayed Match-to-Sample task (DMTS). The RTs, total errors, and Event Related Potentials (ERPs) in the phases of encoding, retention, and matching were obtained. Results revealed a decrease in the amplitude of ERPs with age, paralleled by improved performance on the DMTS task (i.e., shorter RTs and fewer errors). None of these variables were affected by gender. To determine whether memory performance was influenced by the individual pattern of maturation beyond age, the amplitude of the different ERP components was correlated with RT and errors on the WM task after removing the effect of age. Frontal N2 and posterior P1 and the Late Positive Component were the only ERPs that presented significant correlations with behavioral errors. Behavioral performance was predicted by age and by the scores on the first component extracted from Principal Component Analysis (PCA) of the ERPs. Age (under 17 years old) explained 85.04% and the PCA component explained 14.96% of the variance explained by the bivariate model predicting behavioral errors (1/age + scores of 1st PCA component). From the age of 17 on, the principal PCA component ceases to be an independent component predicting error performance. The results suggest that the individual maturation of ERP components seems to be of particular importance in controlling behavioral errors in WM, as measured by the DMTS.


Asunto(s)
Encéfalo/crecimiento & desarrollo , Encéfalo/fisiología , Potenciales Evocados/fisiología , Memoria a Corto Plazo/fisiología , Adolescente , Desarrollo del Adolescente , Adulto , Análisis de Varianza , Niño , Desarrollo Infantil , Electroencefalografía , Femenino , Humanos , Masculino , Pruebas Neuropsicológicas , Análisis de Componente Principal , Psicología del Adolescente , Psicología Infantil , Tiempo de Reacción , Procesamiento de Señales Asistido por Computador , Adulto Joven
11.
Biol Psychol ; 119: 171-83, 2016 09.
Artículo en Inglés | MEDLINE | ID: mdl-27430935

RESUMEN

The neural bases of the so-called Spatial Cueing Effect in a visuo-auditory version of the Central Cue Posners Paradigm (CCPP) are analyzed by means of behavioral patterns (Reaction Times and Errors) and Event-Related Potentials (ERPs), namely the Contingent Negative Variation (CNV), N1, P2a, P2p, P3a, P3b and Negative Slow Wave (NSW). The present version consisted of three types of trial blocks with different validity/invalidity proportions: 50% valid - 50% invalid trials, 68% valid - 32% invalid trials and 86% valid - 14% invalid trials. Thus, ERPs can be analyzed as the proportion of valid trials per block increases. Behavioral (Reaction Times and Incorrect responses) and ERP (lateralized component of CNV, P2a, P3b and NSW) results showed a spatial cueing effect as the proportion of valid trials per block increased. Results suggest a brain activity modulation related to sensory-motor attention and working memory updating, in order to adapt to external unpredictable contingencies.


Asunto(s)
Atención/fisiología , Variación Contingente Negativa/fisiología , Señales (Psicología) , Potenciales Evocados/fisiología , Tiempo de Reacción/fisiología , Adolescente , Adulto , Análisis de Varianza , Femenino , Humanos , Masculino , Memoria a Corto Plazo/fisiología , Estimulación Luminosa/métodos , Probabilidad , Adulto Joven
12.
Eur. j. psychiatry ; 35(4): 216-224, octubre-diciembre 2021. tab, graf
Artículo en Inglés | IBECS (España) | ID: ibc-217634

RESUMEN

Background and objectives: Higher mental functions depend on global functional coordination of the brain. Our aim was to study the baseline condition and modulation of functional networks in a previously unevaluated clinical population, compare the results with a population from another country, and analyze their relationship with cognitive functioning.MethodsWe evaluated the functioning of brain networks by EEG in 24 patients with schizophrenia and 32 healthy Ecuadorian controls. EEG recordings were made at rest and while performing a P300 task. Small world (SW), Path Length (PL), clustering coefficient (CLC) and connective strength (CS) values were calculated in both conditions. The values obtained were compared between groups, with the results of Spanish patients, and the relationship between the connective parameters and the cognitive performance of the participants was analyzed.ResultsHigher PL, CLC and CS values were identified in patients diagnosed with schizophrenia compared to controls (in basal condition) and lower SW values in this same condition. Ecuadorian patients obtained higher values than Spanish patients in the PL and CLC parameters and lower values for the SW parameter, despite these differences, the pattern of alteration in both samples followed the same trend. Finally, the alteration of CS, SW, CLC and PL parameters at baseline was related to cognitive performance.ConclusionThe connective alterations identified in Ecuadorian schizophrenic patients are consistent with those found in another sample with different genetic, environmental and cultural conditions. In addition, these alterations were associated with worse performance in different cognitive domains. (AU)


Asunto(s)
Humanos , Electroencefalografía , Esquizofrenia , Cerebro
13.
Sci Rep ; 4: 4526, 2014 Mar 31.
Artículo en Inglés | MEDLINE | ID: mdl-24681570

RESUMEN

The neural bases of the inter-trial validity/invalidity sequential effects in a visuo-auditory modified version of the Central Cue Posner's Paradigm (CCPP) are analyzed by means of Early Directing Attention Negativity (EDAN), Contingent Negative Variation (CNV) and Lateralized Readiness Potential (LRP). ERPs results indicated an increase in CNV and LRP in trials preceded by valid trials compared to trials preceded by invalid trials. The CNV and LRP pattern would be highly related to the behavioral pattern of lower RTs and higher number of anticipations in trials preceded by valid with respect to trials preceded by invalid trials. This effect was not preceded by a modulation of the EDAN as a result of the previous trial condition. The results suggest that there is a trial-by-trial dynamic modulation of the attentional system as a function of the validity assigned to the cue, in which conditional probabilities between cue and target are continuously updated.


Asunto(s)
Atención/fisiología , Actividad Motora/fisiología , Adulto , Cognición/fisiología , Señales (Psicología) , Potenciales Evocados/fisiología , Femenino , Lateralidad Funcional/fisiología , Humanos , Masculino , Estimulación Luminosa/métodos , Probabilidad , Tiempo de Reacción/fisiología , Percepción Espacial/fisiología , Adulto Joven
14.
PLoS One ; 6(6): e21033, 2011.
Artículo en Inglés | MEDLINE | ID: mdl-21698164

RESUMEN

BACKGROUND: Preparatory activity based on a priori probabilities generated in previous trials and subjective expectancies would produce an attentional bias. However, preparation can be correct (valid) or incorrect (invalid) depending on the actual target stimulus. The alternation effect refers to the subjective expectancy that a target will not be repeated in the same position, causing RTs to increase if the target location is repeated. The present experiment, using the Posner's central cue paradigm, tries to demonstrate that not only the credibility of the cue, but also the expectancy about the next position of the target are changed in a trial by trial basis. Sequences of trials were analyzed. RESULTS: The results indicated an increase in RT benefits when sequences of two and three valid trials occurred. The analysis of errors indicated an increase in anticipatory behavior which grows as the number of valid trials is increased. On the other hand, there was also an RT benefit when a trial was preceded by trials in which the position of the target changed with respect to the current trial (alternation effect). Sequences of two alternations or two repetitions were faster than sequences of trials in which a pattern of repetition or alternation is broken. CONCLUSIONS: Taken together, these results suggest that in Posner's central cue paradigm, and with regard to the anticipatory activity, the credibility of the external cue and of the endogenously anticipated patterns of target location are constantly updated. The results suggest that Bayesian rules are operating in the generation of anticipatory activity as a function of the previous trial's outcome, but also on biases or prior beliefs like the "gambler fallacy".


Asunto(s)
Estimulación Acústica , Audición , Adulto , Análisis de Varianza , Femenino , Humanos , Masculino
15.
Rev Neurol ; 50(4): 217-20, 2010.
Artículo en Español | MEDLINE | ID: mdl-20198593

RESUMEN

INTRODUCTION: Impaired memory, and more particularly spatial orientation, occurs in pathologies such as dementia, cerebrovascular accidents or traumatic brain injuries. Less frequently it also appears as a transient disorder in healthy people with no apparent brain damage, in which case it is known as transient topographical amnesia (TTA). The aim of this work is to report on a series of eight cases of TTA that were evaluated in a neurology unit. CASE REPORTS: We study the cases of eight patients diagnosed with TTA over the period 2002-2008. Patients were considered to fulfil eligibility criteria if they had presented at least one episode of spatial disorientation, with no loss of memory or consciousness, and were able to describe the events that had taken place, without any previous cognitive impairment and with a normal neurological examination. The demographic characteristics taken into account in the study were: predominance of females (75%) and a mean age of 69.13 +/- 8.79 years. The mean number of episodes was 1.75 (range: 1-3), which lasted an average of 24.5 minutes. Three of the eight patients had associated vascular risk factors. Neuroimaging studies did not reveal any relevant findings in any of the eight patients, except one case of a bilateral frontal porencephalic area resulting from a traumatic brain injury suffered in the past. Simple single-photon emission tomography and Doppler ultrasound imaging scans of the brain, as well as an electroencephalogram, were performed on two patients, the results being normal in all cases. Follow-ups were performed on all the patients, without any kind clinical change being observed, except for one patient who developed dementia at six years after the episode of amnesia. CONCLUSIONS: TTA is possibly an underdiagnosed condition which we believe should be included in the differential diagnosis of patients who are referred owing to suspected cognitive impairment.


Asunto(s)
Amnesia/diagnóstico , Amnesia/fisiopatología , Anciano , Anciano de 80 o más Años , Amnesia/etiología , Amnesia/patología , Trastornos del Conocimiento/diagnóstico , Trastornos del Conocimiento/etiología , Trastornos del Conocimiento/patología , Trastornos del Conocimiento/fisiopatología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios Retrospectivos
17.
Headache ; 47(1): 100-3, 2007 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-17355502

RESUMEN

OBJECTIVE: To determine whether menstrual tension-type headache is a real disorder. BACKGROUND: An appendix was included in the second edition of the International Classification of Headache Disorders by the International Headache Society. Diagnostic criteria are proposed in this appendix for 2 types of menstrual migraine: pure menstrual migraine without aura and menstrually related migraine without aura. References to menstrual tension-type headache do not appear in this classification. METHODS: In a neurological outpatient clinic 165 patients were identified in whom headache was related to menstruation and the criteria of the International Classification of Headache Disorders for menstrual migraine adapted to menstrual tension-type headache were applied. RESULTS: Twenty-one patients met the criteria of menstrual tension-type headache, 6 for pure menstrual tension-type headache, and 15 for menstrually related tension-type headache. CONCLUSION: Menstrual tension-type headache is a real condition that should be recognized in the International Classification of Headache Disorders.


Asunto(s)
Trastornos de la Menstruación/diagnóstico , Cefalea de Tipo Tensional/diagnóstico , Adolescente , Adulto , Femenino , Humanos , Menstruación/fisiología , Trastornos de la Menstruación/clasificación , Trastornos de la Menstruación/fisiopatología , Persona de Mediana Edad , Estudios Retrospectivos , Cefalea de Tipo Tensional/clasificación , Cefalea de Tipo Tensional/fisiopatología
18.
J Clin Ultrasound ; 35(7): 372-5, 2007 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-17436316

RESUMEN

PURPOSE: To use transcranial Doppler (TCD) sonography to determine if patients with migraine without aura have interictal hemodynamic abnormalities compared with patients who have episodic tension-type headache (TH). METHODS: Thirty-six migraine patients without aura and 51 TH patients (age range, 16-50 years) who were diagnosed according to the criteria of the International Headache Society 1988 participated in the study. Forty-four healthy volunteers, matched for age and sex, formed the control group. Time-averaged mean velocity (TAMV), pulsatility index (PI), and breath-holding index (BHI) were measured via TCD sonography in the middle cerebral artery. RESULTS: TAMV was higher in migraine without aura than in episodic TH (p = 0.034). There were no differences between groups regarding PI or BHI. CONCLUSION: Our findings support the arteriolar vasodilatation theory in migraine without aura.


Asunto(s)
Arteria Cerebral Media/diagnóstico por imagen , Migraña sin Aura/fisiopatología , Cefalea de Tipo Tensional/fisiopatología , Ultrasonografía Doppler Transcraneal/métodos , Adolescente , Adulto , Velocidad del Flujo Sanguíneo , Femenino , Humanos , Masculino , Persona de Mediana Edad , Flujo Pulsátil
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