Alterations in the trapezius muscle in young patients with migraine – A pilot case series with MRI. (May 2015)

• Record Type: Journal Article
• Authors: Landgraf, M.N.; Ertl-Wagner, B.; Koerte, I.K.; Thienel, J.; Langhagen, T.; Straube, A.; von Kries, R.; Reilich, P.; Pomschar, A.; Heinen, F.
• Is Part Of: European journal of paediatric neurology. Volume 19:Number 3(2015:May)
• Page Start: 372
• Page End: 376
• Publication Date: 2015-05
• Subjects: Pediatric neurology -- Periodicals; Nervous System Diseases -- Periodicals; Child -- Periodicals; Infant -- Periodicals; Neurologie pédiatrique -- Périodiques; Pediatric neurology; Electronic journals; Periodicals; Electronic journals; 618.928
• DOI: 10.1016/j.ejpn.2014.12.021
• Languages: English
• ISSNs: 1090-3798

Abstract

<abstract xml:lang="en" abstract-type="author" id="abs0010"> <title id="sectitle0010">Abstract</title> <sec> <title id="sectitle0015a">Background/purpose</title> <p id="abspara0010a">Migraine is frequent in young adults and adolescents and often associated with neck muscle tension and pain. Common pathophysiological pathways, such as reciprocal cervico-trigeminal activation, are assumed. Tense areas within the neck muscles can be clinically observed many patients with migraine. The aim of this pilot case study was to visualize these tense areas via magnet resonance imaging (MRI).</p> </sec> <sec> <title id="sectitle0020a">Methods</title> <p id="abspara0015a">Three young patients with migraine were examined by an experienced investigator. In all three patients tense areas in the trapezius muscles were palpated. These areas were marked by nitroglycerin capsules on the adjacent skin surface.</p> </sec> <sec> <title id="sectitle0025a">Results</title> <p id="abspara0020a">The MRI showed focal signal alterations at the marked locations within the trapezius muscles.</p> </sec> <sec> <title id="sectitle0030a">Conclusion</title> <p id="abspara0025a">Visualization of palpable tense areas by MRI may be usefully applied in the future to help elucidate the underlying pathophysiological processes of migraine.</p> </sec> </abstract>