Association between vertebral artery dominance and basilar artery curvature in migraineurs: an anatomical magnetic resonance imaging study

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dc.authorid0000-0003-2813-3836
dc.authorid0000-0003-4694-9417
dc.authorid0000-0001-8532-4917
dc.authorid0000-0001-6664-4405
dc.contributor.authorOtu, Ebru
dc.contributor.authorŞen, Selva
dc.contributor.authorÖrmeci, Tuğrul
dc.contributor.authorYüzbaşıoğlu, Neslihan
dc.date.accessioned2024-06-04T11:10:07Z
dc.date.available2024-06-04T11:10:07Z
dc.date.issued2024
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Radyoloji Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Temel Tıp Bilimleri Bölümü, Anatomi Ana Bilim Dalı
dc.description.abstractBackground and Purposes: Numerous studies demonstrate a link between cerebrovascular alterations and migraine pathogenesis. We investigated the association between migraine and vertebral artery dominance (VAD), basilar artery (BA) curvature, and elongation. Materials and Methods: This cross-sectional MRI study included 74 migraine patients and 74 control subjects aged between 18 and 55 years. Diameters of the intracranial part of the vertebral artery (VA) and BA, height of the BA bifurcation, and total lateral displacement of the BA were measured. In addition, we investigated the directional relationship between VAD and BA curvature. Results: There were no statistically significant differences between the groups regarding VA and BA diameters and total lateral displacement of the BA. The height of the BA bifurcation was found to be significantly higher in migraine patients compared to controls (p = 0.002). The left-side VAD was more frequent in migraine patients compared to control subjects (60.8% (45/74) vs 41.9% (31/74), p = 0.001). In migraine patients, particularly those with aura (MwA) patients, with left-side VAD, the rate of BA displacement to the right side is significantly higher than those with right-side VAD or non-VAD (p = 0.022). Also, we found that total lateral displacement of the BA is correlated with VA asymmetry in patients with MwA (r = 0.538, p = 0.007). Conclusion: VAD and its opposite-directional relationship with the lateral displacement of the BA may be associated with migraine pathophysiology. Together with aging, this association may contribute to changes in the vertebrobasilar system (VBS) geometry which may result in increased risk for posterior circulation infarction (PCI) in migraineurs.
dc.identifier.citationOtu, E., Şen, S., Örmeci, T. ve Yüzbaşıoğlu, N. (2024). Association between vertebral artery dominance and basilar artery curvature in migraineurs: an anatomical magnetic resonance imaging study. Neuroradiology Journal, 37(3), 314-322. http://dx.doi.org/10.1177/19714009231224444
dc.identifier.doi10.1177/19714009231224444
dc.identifier.endpage322
dc.identifier.issn1971-4009
dc.identifier.issn2385-1996
dc.identifier.issue3
dc.identifier.pmid38153033
dc.identifier.scopus2-s2.0-85181223615
dc.identifier.scopusqualityQ3
dc.identifier.startpage314
dc.identifier.urihttp://dx.doi.org/10.1177/19714009231224444
dc.identifier.urihttps://hdl.handle.net/20.500.12511/12562
dc.identifier.volume37
dc.identifier.wos001133617500001en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorOtu, Ebru
dc.institutionauthorŞen, Selva
dc.institutionauthorÖrmeci, Tuğrul
dc.institutionauthorYüzbaşıoğlu, Neslihan
dc.language.isoen
dc.relation.ispartofNeuroradiology Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectBasilar Artery Curvature
dc.subjectMagnetic Resonance Imaging
dc.subjectMigraine
dc.subjectVertebral Artery Dominance
dc.subjectVertebrobasilar
dc.titleAssociation between vertebral artery dominance and basilar artery curvature in migraineurs: an anatomical magnetic resonance imaging study
dc.typeArticle

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