ORTADOĞU TIP DERGİSİ - ORTADOGU MEDICAL JOURNAL

Is there a relationship between migraine disease and the skull base angles?

Migren hastalığı ile kafa tabanı açıları arasında bir ilişki var mı?

Neşe Asal ¹ ^* , Mehmet Hamdi Şahan ¹

Ortadogu Tıp Derg, Volume 10, Issue 4, pp. 465-470

https://doi.org/10.21601/ortadogutipdergisi.411138

OPEN ACCESS

Download Full Text (PDF)

Abstract

Aim: The aim of the study was to determine whether there were variability in the skull base according to magnetic resonance images in migraine patients.
Material and Method: A total of 130 magnetic resonans images including 65 migraine and 65 control groups in the age range 18-50 years were evaluated retrospectively. Modified basal angle (MBA), clivo-axial angle in migraine and control groups were measured by a radiologist in magnetic resonans images. The independent t test was used to compare between the groups. The level of significance was set at p < 0.05. In addition, basilar invagination (according to McGregor and Chamberlain line) was evaluated.
Results: The migraine group was 13 male, 52 female (mean age of male 30.38±11.5, mean age of female 32.54±9 years). The control group was 15 males, 50 females (mean age of male 34.4 ±8.6, mean age of female 33.14±9.7 years). In the migraine group; the modified basal angle average was 123.78 ± 6.06° and the clivo-axial angle average was 142.65 ± 8.73°. In the control group; the modified basal angle average was 121.6 ± 5.5° and the clivo-axial angle average was 153.66 ± 6.35°. Significant differences were detected between the groups. There was no difference between the genders for both groups. In the migraine group; according to McGregor line in 3 patients and McGregor and Chamberlain line in 2 patients, basilar invagination was observed. Basilar invagination was not detected in the control group.
Conclusion: Changes in the skull base angles (modified basal angle and clivo-axial angle) are observed in migraine patients according to magnetic resonance images.

Keywords: magnetic resonans imaging, migraine, skull base

Öz

Amaç: Migren hastalarında, manyetik rezonans görüntülerine göre kafa tabanı açılarında değişkenliğin olup olmadığının belirlenmesi amaçlandı.
Gereç ve Yöntem: 18-50 yaş aralığında 65 migren tanılı ve 65 kontrol grubu olmak üzere toplam 130 manyetik rezonans görüntüleri retrospektif olarak incelendi. Migren ve kontrol grubu arasında modifiye bazal açı, klivo-aksiyal açı manyetik rezonans görüntülerde tek radyolog tarafından ölçüldü. Gruplar arasında karşılaştırmada bağımsız t testi kullanıldı. P <0.05 istatiksel olarak anlamlı olarak kabul edildi. Ayrıca baziler invajinasyon (McGregor ve Chamberline hattına göre) açısından değerlendirme yapıldı.
Bulgular: Migren grubu 13 erkek, 52 kadındı (yaş ortalaması erkek 30.38±11.5, kadın 32.54±9 yıl). Kontrol grubu 15 erkek, 50 kadındı (yaş ortalaması erkek 34.4±8.6, kadın 33.14±9.7 yıl). Migren grubunda; modifiye bazal açı ortalaması 123.78±6.06°, klivo-aksiyal açı ortalaması 142.65±8.73°’idi. Kontrol grubunda; modifiye bazal açı ortalaması 121.6±5.5°, klivo-aksiyal açı ortalaması 153.66±6.35°’idi. Gruplar arasında anlamlı farklılık saptandı (p < 0.05). Her iki grup için cinsiyetler arasında farklılık saptanmadı. Ayrıca migren grubunda; 3 hastada McGregor hattına göre ve 2 hastada McGregor ve Chamberline hattına göre baziler invajinasyon izlendi. Kontrol grubunda baziler invajinasyon saptanmadı.
Sonuç: Migren hastalarında, manyetik rezonans görüntülerine göre kafa tabanı açılarında (modifiye bazal açı ve klivo-aksiyal açı) değişiklikler görülmektedir.

Keywords: Manyetik rezonans görüntüleme, migren, kafa tabanı

References

Yücel Y. Migren baş ağrısında tanı ve tedavi yaklaşımları. Dicle Tıp Dergisi 2008; 35 (4): 281-286.
Palm-Meinders IH, Koppen H, Terwindt GM et al. Structural brain changes in migraine. JAMA 2012; 14: 308(18): 1889-1897. Doi: 10.1001/jama.2012.14276.
Pinter NK, McVige J, Mechtler L. Basilar invagination, basilar Impression and platybasia: clinical and imaging aspects. Curr Pain Headache Rep 2016; 20(8): 49. Doi: 10.1007/s11916-016-0580-x.
Headache classification subcommittee of the International Headache Society. The international classification of headache disorders. Cephalalgia 3rd edition (beta version) 2013; 33(9): 629–808. Doi: 10.1177/0333102413485658
Hirunpat S, Wimolsiri N and Sanghan N. Normal value of skull base angle using the modified magnetic resonance ımaging technique in Thai population. J Oral Health Craniofac Sci 2017; 2: 017-021.
Martin JE, Bookland M, Moote D, Cebulla C. Standardized method for the measurement of Grabb's line and clival-canal angle. J Neurosurg Pediatr 2017; 20(4): 352-356. Doi: 10.3171/2017.5.PEDS17181
Xu S, Gong R. Clivodens angle: A new diagnostic method for basilar Invagination at computed tomography. Spine (Phila Pa 1976) 2016; 41(17): 1365-1371.
Ferreira JA and Botelho RV. The odontoid process invagination in normal subjects, Chiari malformation and basilar invagination patients: pathophysiologic correlations with angular craniometry. Surg Neurol Int 2015; 6: 118. Doi: 10.4103/2152-7806.160322
Ertas M, Baykan B, Orhan EK et al. One-year prevalence and the impact of migraine and tension-type headache in Turkey: a nationwide home-based study in adults. J Headache Pain 2012; 13(2): 147–157. Doi: 10.1007/s10194-011-0414-5
Flanagan MF. The Role of the Craniocervical junction in craniospinal hydrodynamics and neurodegenerative conditions. Neurol Res Int 2015; 2015: 794829.Doi: 10.1155/2015/794829
Menezes AH. Craniovertebral junction database analysis: incidence, classification, presentation, and treatment algorithms. Childs Nerv Syst 2008; 24(10): 1101-1108. Doi: 10.1007/s00381-008-0605-9
Henderson FC Sr, Henderson FC Jr, Wilson WA IV, Mark AS, Koby M. Utility of the clivo-axial angle in assessing brainstem deformity: pilot study and literature review. Neurosurg Rev 2018; 41(1): 149-163. Doi: 10.1007/s10143-017-0830-3
Vieira DS, Masruha MR, Gonçalves AL et al. Idiopathic intracranial hypertension with and without papilloedema in a consecutive series of patients with chronic migraine. Cephalalgia 2008; 28(6): 609-613. Doi: 10.1111/j.1468-2982.2008.01564.x.
Koerte IK, Schankin CJ, Immler S et al. Altered cerebrovenous drainage in patients with migraine as assessed by phasecontrast magnetic resonance imaging. Invest Radiol 2011; 46(7): 434-440. Doi: 10.1097/RLI.0b013e318210ecf5
Flanagan MF. Migraines, strokes and chiropractic. Dynamic chiropractic 2002; 20(21)
Kruit MC, Van Buchem MA, Hofman PA et al. Migraine as a risk factor for subclinical brain lesions. The Journal of the American Medical Association 2004; 291(4): 427–434
Koenigsberg RA, Vakil N, Hong TA et al. Evaluation of platybasia with MR imaging. AJNR Am J Neuroradiol 2005; 26 (1): 89-92
Botelho RV, Ferreira ED. Angular craniometry in craniocervical junction malformation. Neurosurg Rev 2013; 36(4): 603- 610. Doi: 10.1007/s10143-013-0471-0
Pappas CT, Harrington T, Sonntag VK. Outcome analysis in 654 surgically treated lumbar disc herniations. Neurosurgery 1992; 30(6): 862–866
Reid CS, Pyeritz RE, Kopits SE et al. Cervicomedullary compression in young patients with achondroplasia: value of comprehensive neurologic and respiratory evaluation. J Pediatr 1987; 110(4): 522–530
Nagashima C, Kubota S. Craniocervical abnormalities. Modern diagnosis and a comprehensive surgical approach. Neurosurg Rev 1983; 6(4): 187–197
Smith JS, Shaffrey CI, Abel MF, Menezes AH. Basilar invagination. Neurosurgery 2010; 66(3): 39–47. Doi: 10.1227/01.NEU.0000365770.10690.6F.
Smoker WR. Craniovertebral junction- normal anatomy, craniometry and congenital anomalies. Radiographics 1994; 14(2): 255–277.
Ross JS. Specialty imaging: craniovertebral junction. Lippincott Williams & Wilkins; 2013

Citation

Asal N, Şahan MH. Is there a relationship between migraine disease and the skull base angles?. Ortadogu Tıp Derg. 2018;10(4):465-70. https://doi.org/10.21601/ortadogutipdergisi.411138

Asal, N., & Şahan, M. H. (2018). Is there a relationship between migraine disease and the skull base angles?. Ortadoğu Tıp Dergisi, 10(4), 465-470. https://doi.org/10.21601/ortadogutipdergisi.411138

Asal, N., and Şahan, M. H. (2018). Is there a relationship between migraine disease and the skull base angles?. Ortadoğu Tıp Dergisi, 10(4), pp. 465-470. https://doi.org/10.21601/ortadogutipdergisi.411138

Asal N, Şahan MH. Is there a relationship between migraine disease and the skull base angles?. Ortadogu Tıp Derg. 2018;10(4), 465-470. https://doi.org/10.21601/ortadogutipdergisi.411138

Asal, Neşe, and Mehmet Hamdi Şahan. "Is there a relationship between migraine disease and the skull base angles?". Ortadoğu Tıp Dergisi 2018 10 no. 4 (2018): 465-470. https://doi.org/10.21601/ortadogutipdergisi.411138

Asal, Neşe et al. "Is there a relationship between migraine disease and the skull base angles?". Ortadoğu Tıp Dergisi, vol. 10, no. 4, 2018, pp. 465-470. https://doi.org/10.21601/ortadogutipdergisi.411138

The articles published in this journal are licensed under the CC-BY Creative Commons Attribution International License.