Brain structure and function related to headache: Brainstem structure and function in headache

Cephalalgia ◽  
2018 ◽  
Vol 39 (13) ◽  
pp. 1635-1660 ◽  
Author(s):  
Marta Vila-Pueyo ◽  
Jan Hoffmann ◽  
Marcela Romero-Reyes ◽  
Simon Akerman

Objective To review and discuss the literature relevant to the role of brainstem structure and function in headache. Background Primary headache disorders, such as migraine and cluster headache, are considered disorders of the brain. As well as head-related pain, these headache disorders are also associated with other neurological symptoms, such as those related to sensory, homeostatic, autonomic, cognitive and affective processing that can all occur before, during or even after headache has ceased. Many imaging studies demonstrate activation in brainstem areas that appear specifically associated with headache disorders, especially migraine, which may be related to the mechanisms of many of these symptoms. This is further supported by preclinical studies, which demonstrate that modulation of specific brainstem nuclei alters sensory processing relevant to these symptoms, including headache, cranial autonomic responses and homeostatic mechanisms. Review focus This review will specifically focus on the role of brainstem structures relevant to primary headaches, including medullary, pontine, and midbrain, and describe their functional role and how they relate to mechanisms of primary headaches, especially migraine.

1993 ◽  
Vol 10 (1) ◽  
pp. 2-5
Author(s):  
Lesley J. Rogers

AbstractCurrently there is an increase in the number of articles published in scientific journals and in the popular scientific media that claim a biological basis for sex differences in cognition and in certain structures in the brain. It can be argued that there is over-emphasis on the differences rather than similarities between the sexes, but it is even more important to question the assumed causation of the differences. This paper discusses recent evidence for an interactive role of early experience and hormonal condition in determining sex differences in brain structure and function. Although early studies using rats were thought to show that the male sex hormone, testosterone, acts on the brain in early life to direct its differentiation into either the male or female form, it is know known that this result comes about indirectly by changing the mother’s behaviour towards the pups. The hormone does not act on the brain directly but rather it alters the environment in which the young animals are rasied and this, in turn, influences the development of the brain. Indeed, the brain is in dynamic register with its environment both during development and in adulthood. Other examples also show that old ideas of rigid biological determination of brain structure and function need to be laid aside.The hypotheses for hormonal causation of sex differences humans rely heavily, if not exclusively, on the earlier interpretation of the experiments with rats, and there seems to be resistance to changing these notions based on the new discoveries. Apparently, there is strong pressure to cling on to biological determinist theories for sex differences in behaviour, and this has profound effects on social and educational policy. For example, biological determinism has been used to justify under representation of women in certain professions. Realisation of the dramatic effects that environmental stimulation and learning can have on the development of brain and behaviour leads us to an optimistic position for social change towards equality for women.


2006 ◽  
Vol 34 (5) ◽  
pp. 863-867 ◽  
Author(s):  
S. Mizielinska ◽  
S. Greenwood ◽  
C.N. Connolly

Maintaining the correct balance in neuronal activation is of paramount importance to normal brain function. Imbalances due to changes in excitation or inhibition can lead to a variety of disorders ranging from the clinically extreme (e.g. epilepsy) to the more subtle (e.g. anxiety). In the brain, the most common inhibitory synapses are regulated by GABAA (γ-aminobutyric acid type A) receptors, a role commensurate with their importance as therapeutic targets. Remarkably, we still know relatively little about GABAA receptor biogenesis. Receptors are constructed as pentameric ion channels, with α and β subunits being the minimal requirement, and the incorporation of a γ subunit being necessary for benzodiazepine modulation and synaptic targeting. Insights have been provided by the discovery of several specific assembly signals within different GABAA receptor subunits. Moreover, a number of recent studies on GABAA receptor mutations associated with epilepsy have further enhanced our understanding of GABAA receptor biogenesis, structure and function.


2010 ◽  
Vol 5 (4) ◽  
pp. 391-400 ◽  
Author(s):  
Denise C. Park ◽  
Chih-Mao Huang

There is clear evidence that sustained experiences may affect both brain structure and function. Thus, it is quite reasonable to posit that sustained exposure to a set of cultural experiences and behavioral practices will affect neural structure and function. The burgeoning field of cultural psychology has often demonstrated the subtle differences in the way individuals process information—differences that appear to be a product of cultural experiences. We review evidence that the collectivistic and individualistic biases of East Asian and Western cultures, respectively, affect neural structure and function. We conclude that there is limited evidence that cultural experiences affect brain structure and considerably more evidence that neural function is affected by culture, particularly activations in ventral visual cortex—areas associated with perceptual processing.


2011 ◽  
Vol 39 (4) ◽  
pp. 567-593 ◽  
Author(s):  
Susan E. Rushing ◽  
Daniel D. Langleben

Neuropsychological testing—medical imaging of the brain structure and function—allows the expert to inform the court on the brain structure and function of the forensic examinee. Supported by extensive clinical use, neuropsychological testing and structural imaging in the form of computerized tomography and structural magnetic resonance imaging have achieved general acceptance in court. However, functional imaging such as functional MRI and nuclear medicine techniques, such as positron emission tomography (PET), have faced more admissibility challenges. While functional imaging is becoming an increasingly important tool in assessing neuropsychiatric illness, we surmise that evidentiary challenges are largely related to the phase of trial in which the nuclear study is offered as evidence. This article will review the basic science of functional nuclear imaging including PET and single photon emission computed tomography. We will then review cases where admissibility of these techniques has been challenged and consider whether and how nuclear brain imaging can influence the outcome of the trial.


2017 ◽  
Vol 39 (4) ◽  
pp. 610-632 ◽  
Author(s):  
Simona D Frederiksen ◽  
Kristian A Haanes ◽  
Karin Warfvinge ◽  
Lars Edvinsson

In order to understand the nature of the relationship between cerebral blood flow (CBF) and primary headaches, we have conducted a literature review with particular emphasis on the role of perivascular neurotransmitters. Primary headaches are in general considered complex polygenic disorders (genetic and environmental influence) with pathophysiological neurovascular alterations. Identified candidate headache genes are associated with neuro- and gliogenesis, vascular development and diseases, and regulation of vascular tone. These findings support a role for the vasculature in primary headache disorders. Moreover, neuronal hyperexcitability and other abnormalities have been observed in primary headaches and related to changes in hemodynamic factors. In particular, this relates to migraine aura and spreading depression. During headache attacks, ganglia such as trigeminal and sphenopalatine (located outside the blood-brain barrier) are variably activated and sensitized which gives rise to vasoactive neurotransmitter release. Sympathetic, parasympathetic and sensory nerves to the cerebral vasculature are activated. During migraine attacks, altered CBF has been observed in brain regions such as the somatosensory cortex, brainstem and thalamus. In regulation of CBF, the individual roles of neurotransmitters are partly known, but much needs to be unraveled with respect to headache disorders.


2020 ◽  
Vol 10 (2) ◽  
Author(s):  
Nenad Stojiljković ◽  
Petar Mitić ◽  
Goran Sporiš

Purpose. The aim of this study is to reveal the effects of exercise on the brain structure and function in children, and to analyze methodological approach applied in the researches of this topic. Methods. This literature review provides an overview of important findings in this fast growing research domain. Results from cross-sectional, longitudinal, and interventional studies of the influence of exercise on the brain structure and function of healthy children are reviewed and discussed. Results. The majority of researches are done as cross sectional studies based on the exploring correlation between the level of physical activity and characteristics of brain structure and function. Results of the studies indicate that exercise has positive correlation with improved cognition and beneficial changes to brain function in children. Physically active children have greater white matter integrity in several white matter tracts (corpus callosum, corona radiata, and superior longitudinal fasciculus), have greater volume of gray matter in the hippocampus and basal ganglia than their physically inactive counterparts. The longitudinal/interventional studies also showed that exercise (mainly aerobic) improve cognitive performance of children and causes changes observed on functional magnetic resonance imaging scans (fMRI) located in prefrontal and parietal regions. Conclusion. Previous researches undoubtable proved that exercise can make positive changes of the brain structures in children, specifically the volume of the hippocampus which is the center of learning and memory. Finally the researchers agree that the most influential type of exercise on changes of brain structure and functions are the aerobic exercises. 


Author(s):  
Κατερίνα Μανιαδάκη

The aim of this paper is to provide evidence regarding the necessity and the effectiveness of early intervention for ADHD, by reviewing the most important international early intervention programs for ADHD and by presenting a relevant program implemented in Greece, based on the multi-level approach in developmental psychopathology. These programs are underpinned theoretically by the biopsychosocial epigenetic model which claims that ADHD is not just the outcome of structural and functional neurobiological deficits but results from the dynamic interplay among genetic, neurophysiological, neurochemical, and environmental factors, affecting brain structure and function early in the process of development. Early intervention focuses on those processes that take place very early in development and have a causal relationship with ADHD, with the aim of modifying the underlying neurophysiology and producing generalized long-lasting change. The efficacy of early intervention mainly lies in the fact that it takes place during a period when brain plasticity is great. Plasticity is an intrinsic property of the brain that ensures dynamic modifications at multiple levels of neural organization, allowing the brain to process, encode, and implement new knowledge. Although this neuronal development is to a great extent genetically programmed, it is widely acknowledged that environment also plays a major role through the process of epigenesis by moderating gene expression with subsequent alterations in brain structure and function and allowing even modification of certain deficient structures.


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