Transcranial Direct Current Stimulation Reveals Inhibitory Deficiency In Migraine

The issue of interictal excitability of cortical neurons in migraine patients is controversial: some studies have reported hypo-, others hyperexcitability. The aim of the present study was to observe the dynamics of this basic interictal state by further modulating the excitability level of the visu...

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Veröffentlicht in:Cephalalgia 2007-07, Vol.27 (7), p.833-839
Hauptverfasser: Chadaide, Z, Arlt, S, Antal, A, Nitsche, MA, Lang, N, Paulus, W
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container_end_page 839
container_issue 7
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container_title Cephalalgia
container_volume 27
creator Chadaide, Z
Arlt, S
Antal, A
Nitsche, MA
Lang, N
Paulus, W
description The issue of interictal excitability of cortical neurons in migraine patients is controversial: some studies have reported hypo-, others hyperexcitability. The aim of the present study was to observe the dynamics of this basic interictal state by further modulating the excitability level of the visual cortex using transcranial direct current stimulation (tDCS) in migraineurs with and without aura. In healthy subjects anodal tDCS decreases, cathodal stimulation increases transcranial magnetic stimulation (TMS)-elicited phosphene thresholds (PT), which is suggested as a representative value of visual cortex excitability. Compared with healthy controls, migraine patients tended to show lower baseline PT values, but this decrease failed to reach statistical significance. Anodal stimulation decreased phosphene threshold in migraineurs similarly to controls, having a larger effect in migraineurs with aura. Cathodal stimulation had no significant effect in the patient groups. This result strengthens the notion of deficient inhibitory processes in the cortex of migraineurs, which is selectively revealed by activity-modulating cortical input.
doi_str_mv 10.1111/j.1468-2982.2007.01337.x
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source Sage Journals GOLD Open Access 2024
subjects Adult
Female
Humans
Male
Migraine
Migraine with Aura - physiopathology
Migraine without Aura - physiopathology
Neural Inhibition
phosphene threshold
Phosphenes
tDCS
Transcranial Magnetic Stimulation
visual cortex
Visual Cortex - physiopathology
title Transcranial Direct Current Stimulation Reveals Inhibitory Deficiency In Migraine
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