Hippocampal connectivity dynamics and volumetric alterations predict cognitive status in migraine: a resting-state fMRI study

dc.contributor.authorÇankaya, Şeyda
dc.contributor.authorAyyıldız, Behçet
dc.contributor.authorSayman, Dila
dc.contributor.authorYalçınkaya, Ali
dc.contributor.authorHanoğlu, Lütfü
dc.contributor.authorVelioğlu, Halil Aziz
dc.contributor.authorYuluğ, Burak
dc.date.accessioned2025-12-08T06:00:30Z
dc.date.available2025-12-08T06:00:30Z
dc.date.issued2025
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Nöroloji Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Rektörlük, Sağlık Bilim ve Teknolojileri Araştırma Enstitüsü
dc.description.abstractThe etiology of cognitive decline linked to migraine remains unclear, with a growing recurrence rate and potential increased dementia risk among sufferers. Cognitive dysfunction has recently gained attention as a significant problem among migraine sufferers that can be related to alterations in hippocampal function and structure. This study explores hippocampal subfield connectivity and volume changes in migraine patients. We recruited 90 individuals from Alanya University's Neurology Department, including 49 migraine patients and 41 controls, for functional and anatomical imaging. Using the CONN toolbox and FreeSurfer, we assessed functional connectivity and subfield volumes, respectively. Montreal Cognitive Assessment (MOCA) was used to assess cognition in the entire sample. As a result, migraine patients exhibited significantly lower MOCA scores compared to controls (p<.001). Also, we found significant differences in hippocampal subfields between migraine patients and control groups in terms of functional connectivity after adjusting for years of education; here we showed that the left CA3 showed higher connectivity with right MFG and right occipitolateral cortex. Furthermore, the connectivity of left fimbria with the left temporal lobe and hippocampus and the connectivity of the right hippocampal-tail with right insula, heschl's gyrus, and frontorbital cortex were lower in the migraineurs. Additionally, volumes of specific hippocampal subfields were significantly lower in the migraineurs (whole hippocampus p = 0.004, whole hippocampus head p = 0.003, right CA1 head p = 0.006, and right HATA p = 0.005) compared to controls. In conclusion, these findings indicate that migraine-associated cognitive impairment involves significant functional and structural brain changes, particularly in the hippocampus, which may heighten dementia risk. This pioneering study unveils critical hippocampal alterations linked to cognitive function in migraine sufferers, underscoring the potential for these changes to impact dementia development.
dc.identifier.citationÇankaya, Ş., Ayyıldız, B., Sayman, D., Yalçınkaya, A., Hanoğlu, L., Velioğlu, H. A. ... Yuluğ, B. (2025). Hippocampal connectivity dynamics and volumetric alterations predict cognitive status in migraine: a resting-state fMRI study. NeuroImage, 305. http://dx.doi.org/10.1016/j.neuroimage.2024.120961
dc.identifier.doi10.1016/j.neuroimage.2024.120961
dc.identifier.issn1053-8119
dc.identifier.issn1095-9572
dc.identifier.pmid39675538
dc.identifier.scopus2-s2.0-85212818271
dc.identifier.scopusqualityQ1
dc.identifier.urihttp://dx.doi.org/10.1016/j.neuroimage.2024.120961
dc.identifier.urihttps://hdl.handle.net/20.500.12511/13297
dc.identifier.volume305
dc.identifier.wosWOS:001396644100001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorYalçınkaya, Ali
dc.institutionauthorHanoğlu, Lütfü
dc.institutionauthorVelioğlu, Halil Aziz
dc.institutionauthorid0009-0003-5293-3179
dc.institutionauthorid0000-0003-4292-5717
dc.institutionauthorid0000-0002-2306-5937
dc.language.isoen
dc.relation.ispartofNeuroImage
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectBrain Connectivity
dc.subjectCognition
dc.subjectFmri
dc.subjectHippocampus
dc.subjectMigraine
dc.subjectMontreal Cognitive Assessment
dc.titleHippocampal connectivity dynamics and volumetric alterations predict cognitive status in migraine: a resting-state fMRI study
dc.typeArticle

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