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....
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2021
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Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/34951 |
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I10-R327-article-34951 |
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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.
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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 |
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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 |