Electrophysiological alterations induced by physical activity in a patient suffering from exercise triggered headache

Abstract:  INTRODUCTION: In most instances, the physiopathology of exercise-triggered headache remains ill defined.  We present the modifications of visual cortex activity evaluated using EEG in a patient suffering from headache induced by exercise, before and after exertion....

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Filipchuk , M, Carpinella , M, Sesto Tagliavini , T, Audisio , J, Conci Magris , D, Lisicki , M
Formato: Artículo revista
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021
Materias:
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/34951
Aporte de:
id I10-R327-article-34951
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
format Artículo revista
topic Exercise
Triggers
migraine
Electroencephalogram
Visual Evoked Potentials
Ejercicio
Desencadenantes
migraña
Electroencefalograma
Potenciales visuales evocados
spellingShingle Exercise
Triggers
migraine
Electroencephalogram
Visual Evoked Potentials
Ejercicio
Desencadenantes
migraña
Electroencefalograma
Potenciales visuales evocados
Filipchuk , M
Carpinella , M
Sesto Tagliavini , T
Audisio , J
Conci Magris , D
Lisicki , M
Electrophysiological alterations induced by physical activity in a patient suffering from exercise triggered headache
topic_facet Exercise
Triggers
migraine
Electroencephalogram
Visual Evoked Potentials
Ejercicio
Desencadenantes
migraña
Electroencefalograma
Potenciales visuales evocados
author Filipchuk , M
Carpinella , M
Sesto Tagliavini , T
Audisio , J
Conci Magris , D
Lisicki , M
author_facet Filipchuk , M
Carpinella , M
Sesto Tagliavini , T
Audisio , J
Conci Magris , D
Lisicki , M
author_sort Filipchuk , M
title Electrophysiological alterations induced by physical activity in a patient suffering from exercise triggered headache
title_short Electrophysiological alterations induced by physical activity in a patient suffering from exercise triggered headache
title_full Electrophysiological alterations induced by physical activity in a patient suffering from exercise triggered headache
title_fullStr Electrophysiological alterations induced by physical activity in a patient suffering from exercise triggered headache
title_full_unstemmed Electrophysiological alterations induced by physical activity in a patient suffering from exercise triggered headache
title_sort electrophysiological alterations induced by physical activity in a patient suffering from exercise triggered headache
description Abstract:  INTRODUCTION: In most instances, the physiopathology of exercise-triggered headache remains ill defined.  We present the modifications of visual cortex activity evaluated using EEG in a patient suffering from headache induced by exercise, before and after exertion. CASE PRESENTATION: We present a 36 years old otherwise healthy male under evaluation for headache crises with migrainous features (with intense photophobia) provoked by physical activity. Attacks respond to ergotamine-containing compounds, but cannot be prevented using common anti-migraine prophylactics. Laboratory tests, magnetic resonance angiography and cardiac and neck blood vessels Doppler ultrasound were normal. An electroencephalographic recording was performed at rest and during 3 consecutive blocks of visual stimulation (checkboard pattern-reversal) before and after a graduated ergometric evaluation.  Independent components of EEG activity were extracted to assess visual cortex activity in the frequency domain. The electrophysiological patterns observed were similar to those previously described on migraineurs in-between and during headaches. CONCLUSIONS: If replicated in an adequately sized sample, our findings may suggest that exercise-induced headache in subjects without any vascular, structural, or cerebrospinal fluid dynamic alterations and migraine may share a common physiopathological background.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2021
url https://revistas.unc.edu.ar/index.php/med/article/view/34951
work_keys_str_mv AT filipchukm electrophysiologicalalterationsinducedbyphysicalactivityinapatientsufferingfromexercisetriggeredheadache
AT carpinellam electrophysiologicalalterationsinducedbyphysicalactivityinapatientsufferingfromexercisetriggeredheadache
AT sestotagliavinit electrophysiologicalalterationsinducedbyphysicalactivityinapatientsufferingfromexercisetriggeredheadache
AT audisioj electrophysiologicalalterationsinducedbyphysicalactivityinapatientsufferingfromexercisetriggeredheadache
AT concimagrisd electrophysiologicalalterationsinducedbyphysicalactivityinapatientsufferingfromexercisetriggeredheadache
AT lisickim electrophysiologicalalterationsinducedbyphysicalactivityinapatientsufferingfromexercisetriggeredheadache
AT filipchukm alteracioneselectrofisiologicasinducidasporlaactividadfisicaenunpacienteconcefaleadesencadenadaporelejercicio
AT carpinellam alteracioneselectrofisiologicasinducidasporlaactividadfisicaenunpacienteconcefaleadesencadenadaporelejercicio
AT sestotagliavinit alteracioneselectrofisiologicasinducidasporlaactividadfisicaenunpacienteconcefaleadesencadenadaporelejercicio
AT audisioj alteracioneselectrofisiologicasinducidasporlaactividadfisicaenunpacienteconcefaleadesencadenadaporelejercicio
AT concimagrisd alteracioneselectrofisiologicasinducidasporlaactividadfisicaenunpacienteconcefaleadesencadenadaporelejercicio
AT lisickim alteracioneselectrofisiologicasinducidasporlaactividadfisicaenunpacienteconcefaleadesencadenadaporelejercicio
AT filipchukm a
AT carpinellam a
AT sestotagliavinit a
AT audisioj a
AT concimagrisd a
AT lisickim a
first_indexed 2024-09-03T21:02:52Z
last_indexed 2024-09-03T21:02:52Z
_version_ 1809210274861809664
spelling I10-R327-article-349512024-04-15T16:19:09Z Electrophysiological alterations induced by physical activity in a patient suffering from exercise triggered headache Alteraciones electrofisiológicas inducidas por la actividad física en un paciente con cefalea desencadenada por el ejercicio. A Filipchuk , M Carpinella , M Sesto Tagliavini , T Audisio , J Conci Magris , D Lisicki , M Exercise Triggers migraine Electroencephalogram Visual Evoked Potentials Ejercicio Desencadenantes migraña Electroencefalograma Potenciales visuales evocados Abstract:  INTRODUCTION: In most instances, the physiopathology of exercise-triggered headache remains ill defined.  We present the modifications of visual cortex activity evaluated using EEG in a patient suffering from headache induced by exercise, before and after exertion. CASE PRESENTATION: We present a 36 years old otherwise healthy male under evaluation for headache crises with migrainous features (with intense photophobia) provoked by physical activity. Attacks respond to ergotamine-containing compounds, but cannot be prevented using common anti-migraine prophylactics. Laboratory tests, magnetic resonance angiography and cardiac and neck blood vessels Doppler ultrasound were normal. An electroencephalographic recording was performed at rest and during 3 consecutive blocks of visual stimulation (checkboard pattern-reversal) before and after a graduated ergometric evaluation.  Independent components of EEG activity were extracted to assess visual cortex activity in the frequency domain. The electrophysiological patterns observed were similar to those previously described on migraineurs in-between and during headaches. CONCLUSIONS: If replicated in an adequately sized sample, our findings may suggest that exercise-induced headache in subjects without any vascular, structural, or cerebrospinal fluid dynamic alterations and migraine may share a common physiopathological background. Resumen:  INTRODUCCIÓN:   En la mayoría de los casos, la fisiopatogenia de la cefalea inducida por el ejercicio no puede ser determinada a ciencia cierta.Presentamos los resultados del análisis de la actividad en la corteza visual de un paciente con cefalea inducida por el ejercicio antes y después de una prueba de actividad física. PRESENTACIÓN  DEL CASO: Paciente de sexo masculino de 36 años de edad, sin antecedentes médicos de relevancia, en estudio por crisis de cefalea de características migrañosas (marcada fotofobia) desencadenadas por la actividad física. Las crisis responden adecuadamente a compuestos con ergotamina,  pero no pueden ser prevenidas con profilácticos antimigrañosos clásicos. Los análisis de laboratorio, la angio-resonancia magnética nuclear de cerebro y la ecografía Doppler cardíaca y de vasos  del  cuello fueron normales. Se le realizó un registro electroencefalograáfico en reposo, seguido de 3 bloques de 5 minutos de estimulación visual con damero antes y después de una prueba ergométrica graduada, del cual se extrajeron los componentes independientes de la señal para luego comparar la actividad espectral a nivel de la corteza visual. Los patrones electrofisiológicos observados fueron similares a aquellos que han sido descriptos previamente en pacientes con migraña entre medio y durante las crisis. CONCLUSIONES:  En caso de poder ser replicados en una muestra de tamaño adecuado, nuestros hallazgos sugieren que la fisiopatogenia de la cefalea inducida por el ejercicio podría ser similar a la de la migraña en pacientes sin alteraciones vasculares, estructurales o de la dinámica de líquido cefalorraquídeo. . Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021-10-12 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion texto texto texto https://revistas.unc.edu.ar/index.php/med/article/view/34951 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 78 No. Suplemento (2021): Suplemento JIC XXII Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 78 Núm. Suplemento (2021): Suplemento JIC XXII Revista da Faculdade de Ciências Médicas de Córdoba; v. 78 n. Suplemento (2021): Suplemento JIC XXII 1853-0605 0014-6722 http://creativecommons.org/licenses/by-nc/4.0