Increased Cerebral Vasomotor Reactivity in Migraine With Aura: An Autoregulation Disorder? A Transcranial Doppler and Near-Infrared Spectroscopy Study

Cephalalgia ◽  
2008 ◽  
Vol 28 (7) ◽  
pp. 689-695 ◽  
Author(s):  
F Vernieri ◽  
F Tibuzzi ◽  
P Pasqualetti ◽  
C Altamura ◽  
P Palazzo ◽  
...  
Keyword(s):  
Infrared Spectroscopy ◽  
Migraine With Aura ◽  
Near Infrared Spectroscopy ◽  
Transcranial Doppler ◽  
Near Infrared ◽  
Cerebral Blood Volume ◽  
Cerebral Arteries ◽  
Invasive Approach ◽  
Vasomotor Reactivity ◽  
Haemoglobin Content

Migraine with aura (MA) is associated with changes in cerebral blood flow (CBF), whereas the role of cerebral autoregulation is uncertain. This study aimed to evaluate basal CBF, cerebral blood volume (CBV) and vasomotor reactivity (VMR) in MA patients. Twenty-one controls and 16 MA patients (eight with side predominance) underwent simultaneous examination of flow velocity in the middle cerebral arteries by transcranial Doppler (TCD) and of near-infrared spectroscopy (NIRS) parameters [oxygen haemoglobin saturation: oxygen%, and total haemoglobin content (THC)] at rest and after hypercapnia. Cerebral VMR, THC and oxygen% increases were significantly greater on the predominant compared with the non-predominant migraine side, with both sides of patients without side predominance and with controls. These findings suggest altered autoregulation in MA patients, possibly secondary to impaired cerebrovascular autonomic control. Simultaneous TCD and NIRS investigation could represent a non-invasive approach to evaluate cerebral haemodynamics at the cortical and subcortical level.

scholarly journals The speed of reinfusion affects the vascular system during ozone major autohemotherapy

Ozone Therapy ◽  
2017 ◽  
Vol 1 (3) ◽  
pp. 56 ◽  
Author(s):  
Daniele Rimini ◽  
Filippo Molinari ◽  
William Liboni ◽  
Vincenzo Simonetti ◽  
Marianno Franzini
Keyword(s):  
Infrared Spectroscopy ◽  
Side Effects ◽  
Near Infrared Spectroscopy ◽  
Transcranial Doppler ◽  
Near Infrared ◽  
Vascular System ◽  
Venous Blood ◽  
Blood Drawing

Ozone major autohemotherapy (O-MAHT) is a way of ozonetherapy administration consisting of drawing patient’s venous blood, mixing with oxygen/ozone, and reinfusing it into the vein. Some ozone therapists reported side effects during the O-MAHT, but the origin has not been described yet. We investigated the effect of blood drawing velocity during O-MAHT to see its effects on the vascular system and symptomatology. We administered O-MAHT to 11 subjects, and we interleaved fast and slow reinfusions. We monitored cerebral macrocirculation with transcranial Doppler (TCD) and tissue microcirculation with near-infrared spectroscopy (NIRS). Annoying symptoms appeared just during the fast reinfusion periods. NIRS and TCD parameters revealed vasoconstriction during fast reinfusion and improved metabolism during slow reinfusion. Overall, our investigation well discriminated fast from slow reinfusion velocity.

scholarly journals Can Cerebral Blood Volume Be Measured Reproducibly with an Improved near Infrared Spectroscopy System?

2001 ◽  
Vol 21 (2) ◽  
pp. 110-113 ◽  
Author(s):  
Marjo J. T. Van de Ven ◽  
Willy N. J. M. Colier ◽  
Marco C. van der Sluijs ◽  
Diederik Walraven ◽  
Berend Oeseburg ◽  
...  
Keyword(s):  
Blood Flow ◽  
Cerebral Blood Flow ◽  
Infrared Spectroscopy ◽  
Blood Volume ◽  
Near Infrared Spectroscopy ◽  
Healthy Subjects ◽  
Baseline Level ◽  
Near Infrared ◽  
Cerebral Blood Volume ◽  
Spectroscopy System

In some circumstances, cerebral blood volume (CBV) can be used as a measure for cerebral blood flow. A new near infrared spectroscope was used for determining the reproducibility of CBV measurements assessed by the O2-method. Twenty-seven healthy subjects were investigated. An intrasubject coefficient of variation (CV) was calculated, based on four identical episodes of desaturation–resaturation (O2-method) procedures for CBV measurements. Two trials were performed, with (trial 1) and without (trial 2) disconnecting the equipment. A mean CV of 12.6% and 10.0% was found in trial 1 and 2, respectively. Cerebral blood volume values yield 3.60 ± 0.82 mL 100 g−1. Cerebral blood volume could be measured reproducible in adults using near infrared spectroscopy, if the arterial desaturation is limited to approximately 5% from baseline level.

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