Olfactory and trigeminal event-related potentials in migraine

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

Abstract

Background: Trigeminal/neuronal hyperexcitability and spreading depression activating the trigemino-vascular system are discussed in migraine-pathophysiology. This study investigated trigeminal and olfactory event-related potentials in migraineurs. Methods: Nasal chemosensitivity was assessed in 19 female migraineurs with or without aura > 72 h before or after an attack and in 19 healthy females employing event-related cortical potentials (ERPs) after specific trigeminal stimulation of nasal nociceptors with short pulses of CO2, and specific olfactory stimulation with H2S. Odour thresholds and odour identification performance were also tested. Results: Migraineurs exhibited greater responses to trigeminal stimulation, indicated by significantly larger ERP amplitudes N1. In contrast, olfactory ERP amplitudes P1N1 were significantly smaller in migraineurs. A leave-one-out classification procedure on the basis of these two parameters assigned 76.3% cases correctly. The olfactory ERP amplitude discriminated better between groups than trigeminal ERPs (71.1 vs. 68.4% correct classification). Conclusions: Our data suggest trigeminal hyperexcitability in migraineurs. A general increase of nasal chemosensitivity is not supported because of smaller olfactory ERP amplitudes in migraineurs. Olfactory ERPs discriminate better than trigeminal ERPs between migraineurs and controls, emphasizing the significance of the olfactory system in migraine.

Details

Original languageEnglish
Pages (from-to)621-631
Number of pages11
JournalCephalalgia
Volume20
Issue number7
Publication statusPublished - Sept 2000
Peer-reviewedYes

External IDs

PubMed 11128819
Scopus 0034453846
ORCID /0000-0001-9713-0183/work/146645581

Keywords

Keywords

  • Event-related potentials, Migraine, Pain, Smell, Trigeminal nerve