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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticlePEDIATRICS

Brain Diffusion Abnormalities in Children with Tension-Type and Migraine-Type Headaches

J.D. Santoro, N.D. Forkert, Q.-Z. Yang, S. Pavitt, S.J. MacEachern, M.E. Moseley and K.W. Yeom
American Journal of Neuroradiology March 2018, DOI: https://doi.org/10.3174/ajnr.A5582
J.D. Santoro
aFrom the Department of Neurology (J.D.S., Q.-Z.Y., S.P.), Division of Child Neurology
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N.D. Forkert
cDepartments of Radiology (N.D.F.)
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Q.-Z. Yang
aFrom the Department of Neurology (J.D.S., Q.-Z.Y., S.P.), Division of Child Neurology
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S. Pavitt
aFrom the Department of Neurology (J.D.S., Q.-Z.Y., S.P.), Division of Child Neurology
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S.J. MacEachern
dPediatrics (S.J.M.), Cumming School of Medicine, University of Calgary, Alberta, Canada
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M.E. Moseley
bDepartment of Radiology (M.E.M.), Stanford University School of Medicine, Stanford, California
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K.W. Yeom
eDepartment of Radiology (K.W.Y.), Lucile Packard Children's Hospital, Stanford University, Stanford, California.
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    FIGURE.

    Visual analysis of all plots generated using local piecewise regression analysis for healthy control children (black circles) and patients with TTH (blue boxes) and MTH (red dots).

Tables

  • Figures
  • Demographics and diffusion and volumetric analysis by region

    Control (n = 100)TTH (n = 31)MTH (n = 23)
    Demographics
        Median age (range) (mo)98 (4–213)99 (24–209)83 (12–212)
        Sex (M/F)36:6413:186:17
        Family history of any headache (No.) (%)6 (19%)10 (43%)
    ADC on neuroimaging ([mean ×10−6 mm2/s], standard error,a P value vs control)
        Cerebral cortex899.05 (3.44)901.78 (7.04) >.5907.29 (8.22) >.5
        Thalamus812.48 (3.51)815.44 (6.26) >.5833.11 (7.11) .045b
        Caudate815.16 (3.98)821.42 (7.11) >.5833.99 (8.64) .149
        Putamen799.94 (3.48)792.42 (6.21) >.5800.75 (7.55) >.5
        Pallidum836.62 (4.05)822.09 (7.22) .24838.30 (8.78) >.5
        Hippocampus935.52 (4.50)965.45 (8.03) .013b970.46 (9.76) .038b
        Amygdala885.83 (3.79)882.75 (6.78) >.5904.48 (8.24) .113
        Nucleus accumbens856.83 (4.72)841.45 (8.43) .34850.75 (8.43) >.5
        Brain stem806.72 (3.43)825.01 (6.13) .05b840.71 (7.45) <.001b
    Volume on neuroimaging (mean [in mL], standard error,a P value vs control)
        Cerebral cortex344.33 (4.19)350.56 (3.92) >.5362.54 (9.08) .212
        Thalamus6.62 (0.08)5.54 (0.12) .1485.71 (0.15) >.5
        Caudate2.68 (0.04)2.64 (0.06) >.52.71 (0.08) >.5
        Putamen4.49 (0.06)4.46 (0.06) >.54.63 (0.12) >.5
        Pallidum1.46 (0.02)1.42 (0.03) >.51.50 (0.04) >.5
        Hippocampus3.10 (0.04)3.07 (0.07) >.53.21 (0.08) >.5
        Amygdala1.53 (0.02)1.55 (0.04) >.51.59 (0.04) >.5
        Nucleus accumbens0.37 (0.01)0.38 (0.04) >.50.039 (0.01) >.5
        Brain stem22.79 (0.30)22.51 (0.53) .10822.97 (0.64) >.5
    • ↵a Means and standard error were corrected to an age of 97 months in all groups.

    • ↵b Significant.

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Cite this article
J.D. Santoro, N.D. Forkert, Q.-Z. Yang, S. Pavitt, S.J. MacEachern, M.E. Moseley, K.W. Yeom
Brain Diffusion Abnormalities in Children with Tension-Type and Migraine-Type Headaches
American Journal of Neuroradiology Mar 2018, DOI: 10.3174/ajnr.A5582

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Brain Diffusion Abnormalities in Children with Tension-Type and Migraine-Type Headaches
J.D. Santoro, N.D. Forkert, Q.-Z. Yang, S. Pavitt, S.J. MacEachern, M.E. Moseley, K.W. Yeom
American Journal of Neuroradiology Mar 2018, DOI: 10.3174/ajnr.A5582
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