Micro-structural white matter abnormalities in new daily persistent headache: a DTI study using TBSS analysis

作者：Yanliang Mei, Wei Wang, Dong Qiu, Ziyu Yuan, Xiaoyan Bai, Hefei Tang, Peng Zhang, Xue Zhang, Yaqing Zhang, Xueying Yu, Binbin Sui, Yonggang Wang · 发表于：The Journal of Headache and Pain · 年份：2023 · DOI：10.1186/s10194-023-01620-2 · 被引用次数：31 · 研究领域：Migraine and Headache Studies、Advanced Neuroimaging Techniques and Applications、Functional Brain Connectivity Studies

BACKGROUND: New daily persistent headache (NDPH) is a rare primary headache disorder characterized by daily and persistent sudden onset headaches. The pathogenesis of NDPH remains unclear, and there are few white matter imaging studies related to NDPH. The purpose of this study was to investigate the micro-structural abnormalities of white matter in NDPH and provided insights into the pathogenesis of this disease based on tract-based spatial statistics (TBSS). METHODS: Twenty-one patients with NDPH and 25 healthy controls (HCs) were included in this study. T1 structural and diffusion magnetic resonance imaging (MRI) were acquired from all participants. Differences in the fractional anisotropy (FA), mean diffusivity (MD), axial diffusivity (AD), and radial diffusivity (RD) between patients with NDPH and HCs were investigated using TBSS analysis. RESULTS: Significantly decreased FA, increased MD and RD were found in patients with NDPH compared to HCs. White matter regions overlaid with decreased FA, increased MD and RD were found in 16 white matter tracts from the Johns Hopkins University ICBM-DTI-81 White-Matter Atlas and Johns Hopkins University White-Matter Tractography Atlas. Specifically, these white matter regions included the right anterior thalamic radiation (ATR), body of the corpus callosum (BCC), bilateral cingulum, left hippocampal cingulum (CGH), left corticospinal tract (CST), forceps major, fornix, left inferior fronto-occipital fasciculus (IFOF), bilateral infer...