Abstract
Background: Migraine and major depressive disorder (MDD) are both high prevalence brain disorders and often comorbidity. However, the neural mechanisms underlying the migraine and depression comorbidity are largely unknown. We aimed to explore the brain functional abnormalities associated with the co-occurrence of migraine and depression. Methods: High-resolution T1-weighted and resting-state functional magnetic resonance imaging were required from ninety-three well-matched subjects with migraineurs with depression, migraineurs without depression, patients with MDD and healthy controls (HC). Voxel-wise one-way and two-way analyses of variance in multiple functional variables were performed among the four groups. Furthermore, correlation analysis was conducted to detect the clinical significance of the altered brain functional regions.Results: Migraineurs with depression showed functional alterations in the default mode network (DMN), pain processing network (PPN), and visual network (VN) compared with HC. Migraineurs without depression exhibited abnormalities in the DMN, PPN, VN, and ventral attention network compared with HC. Furthermore, the abnormalities in the right paracentral lobule and left calcarine were significantly correlated with emotional scales in the pooled migraine patients. Conclusions: Migraineurs with and without depression revealed widely shared regional networks of function changes related to the DMN, PPN, and VN. Importantly, the right paracentral lobule and left calcarine may be the core regions for the neuropathological mechanism in migraine and depression comorbidity, and may contribute to the development of depression in migraineurs.