Vol. 24 No. 1 (2025)
Original Articles

Interictal balance changes in migraine- A stabilometric and diffusion tensor imaging study

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  • Cristiana P. de Q. F. Goes,
  • Ana Paula Fontana,
  • Isadora V. da Silva
Cristiana P. de Q. F. Goes
Departamento de especialidades médicas, Faculdade de Ciências Médicas, Universidade Estadual do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Ana Paula Fontana
Bio
Isadora V. da Silva
Sala de Infusão, Universidade Estadual do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
DOI: https://doi.org/10.12957/bjhbs.2025.93436

Published 2025-08-08

Keywords

  • Migraine; Cerebellum; Stabilometry; Magnetic resonance; Diffusion Tensor Imaging

How to Cite

1.
P. de Q. F. Goes C, Fontana AP, V. da Silva I. Interictal balance changes in migraine- A stabilometric and diffusion tensor imaging study. BJHBS [Internet]. 2025 Aug. 8 [cited 2025 Oct. 10];24(1):27-3. Available from: https://bjhbs.hupe.uerj.br/bjhbs/article/view/213

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Abstract

Cerebellar dysfunctions have been found in migraine. Ischaemic lesions have been described to be more frequent in the posterior fossa of migraine patients. To approach balance abnormalities and anatomical cerebellar changes in migraine interictally, 48 patients (21 with aura - MWA; 27 without aura - MWoA) underwent a stance evaluation by computerized static stabilometry (CSS) and compared with controls.The frequency and amplitude of sways in both anteroposterior and latero-lateral axes, as well as area and velocity of oscillations were estimated with open and closed eyes. A subgroup of 10 individuals and 10 controls was also examined with MRI and diffusion tensor imaging. Fraction anisotropy was obtained in nine regions of interest at the posterior fossa. Clinical parameters (age, age at onset, disease time-span and attack frequency) were correlated with FA and CSS data. Subclinical impairment with greater lateral axis oscillation, especially in MWA, was observed. MWA patients were more dependent on visual input to control lateral sway than MWoA subjects. The anatomy of the cerebellum, especially at the dentate nuclei and middle cerebellar peduncles was comparatively impaired in migraine, as estimated by FA.

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