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White matter integrity affected by depressive symptoms in migraine without aura: a tract‐based spatial statistics study
Authors:Dahua Yu  Kai Yuan  Ling Zhao  Minghao Dong  Peng Liu  Xuejuan Yang  Jixin Liu  Jinbo Sun  Guangyu Zhou  Ting Xue  Limei Zhao  Ping Cheng  Tao Dong  Karen M von Deneen  Wei Qin  Jie Tian
Institution:1. Life Sciences Research Center, School of Life Sciences and Technology, Xidian University, , Xi'an, Shaanxi, China;2. Information Processing Laboratory, School of Information Engineering, Inner Mongolia University of Science and Technology, , Baotou, Inner Mongolia, China;3. The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, , Chengdu, Sichuan, China;4. Institute of Automation, Chinese Academy of Sciences, , Beijing, China
Abstract:Previous studies have proven that migraine and depression are bidirectionally linked. However, few studies have investigated white matter (WM) integrity affected by depressive symptoms in patients suffering from migraine without aura (MWoA). Forty patients with MWoA were divided into two groups according to their self‐rating depression scale (SDS) score in the present study, including 20 in the SDS (+) (SDS > 49) group and 20 in the SDS (?) (SDS ≤ 49) group. Forty healthy participants were also recruited as the control group. Tract‐based spatial statistics analyses with multiple diffusion tensor imaging‐derived indices fractional anisotropy (FA), mean diffusivity (MD), radial diffusivity (RD), axial diffusivity (AD)] were employed collectively to investigate WM integrity between all patients with MWoA and all healthy controls, between each subgroup (SDS (?) group and SDS (+) group) and healthy controls, and between the SDS (?) and SDS (+) groups. Compared with healthy controls, decreased AD was shown in several WM tracts of the whole MWoA group, SDS (?) group and SDS (+) group. In addition, compared with the SDS (?) group, the SDS (+) group showed decreased FA and increased MD and RD, with conserved AD, including the genu, body and splenium of the corpus callosum, bilateral superior longitudinal fasciculi, the right anterior corona radiata and some other WM tracts, similar to previous findings in depression disorder. Furthermore, mean FA and RD in some of the above‐mentioned WM tracts in the SDS (+) group were correlated significantly with SDS scores, including the genu and splenium of the corpus callosum, the right anterior corona radiata and the superior longitudinal fasciculi. Our results suggest that WM integrity may be affected by both depression symptoms (more sensitive as RD) and migraine (more sensitive as AD). The findings may serve as a sensitive biomarker of depression severity in MWoA. Copyright © 2013 John Wiley & Sons, Ltd.
Keywords:migraine without aura (MWoA)  tract‐based spatial statistics (TBSS)  depressive symptoms  corpus callosum (CC)  anterior corona radiata (ACR)  superior longitudinal fasciculi (SLF)
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