Comparison of Vertebral Artery and Middle Cerebral Artery Monitoring for Right-to-left Shunt Detection by Contrast-enhanced Transcranial Doppler

Guo, Yuzhu; Gao, Yongsheng; Guo, Zhen‐Ni; Niu, Peng-Peng; Yang, Yi; Xing, Yingqi

doi:10.1038/srep24932

Cited by 9 publications

(16 citation statements)

References 24 publications

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“…platypnea-orthodeoxia syndrome, and decompression sickness [3,4]. Migraine is a chronic neurological disorder characterised by attacks of moderate or severe headache and reversible neurological and systemic symptoms, and is one of the most prevalent and disabling medical illnesses in the world [5].…”

mentioning

confidence: 99%

Prevalence and grade of RLS in migraine: a prospective study of 251 migraineurs by synchronous test of c-TTE and c-TCD

Zhao

Liu²,

Zhou

et al. 2020

Preprint

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Background RLS is considered as a risk factor for migraine, but the correlation between the RLS and migraine remains controversial. To investigate the prevalence and Right-to left shunt (RLS) grade of PFO in patients with migraine (including migraine with aura and without) and assess the association between PFO and migraine. Methods Synchronous test of contrast transthoracic echocardiography (c-TTE) and contrast transcranial Doppler ultrasonography (c-TCD) was conducted in 251 patients with migraine, including 61 migraine with aura (MA) and 189 migraine without aura (MO) and 275 healthy adults. Among these patients, 25 patients with migraine and 14 healthy adults were evaluated by transesophageal echocardiography (TEE). Results (1). The prevalence of permanent RLS, total RLS and large RLS in migraine was significantly higher compared with controls (P = 0.042, < 0.001 and 0.001, respectively). (2). Compared with controls, the positive rate of total RLS and large RLS in MO was increased (P = 0.004 and 0.022 respectively), the positive rate of permanent RLS, total RLS and large RLS in MA was also increased (P < 0.001 for each of the comparisons). The positive rate of permanent RLS and large RLS in MA was significantly higher than in MO (P = 0.004 and 0.011 respectively). (3) The presence of large-size PFO (≥ 2.0 mm) of migraine was higher than that of controls (P = 0.048). Conclusion PFO is associated with increased migraine (especially with aura), when the PFO is permanent RLS, large RLS and large-size PFO (≥ 2.0 mm).

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confidence: 99%

Prevalence and grade of RLS in migraine: a prospective study of 251 migraineurs by synchronous test of c-TTE and c-TCD

Zhao

Liu²,

Zhou

et al. 2020

Preprint

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“…Sin embargo, la detección de CDI está limitada por ventanas de hueso temporal insuficientes en 10 a 20% de los pacientes. 6 Las imágenes de ultrasonido con contraste de la arteria carótida común con maniobra de Valsalva podrían ser una herramienta de detección opcional para la detección del CDI en pacientes con ventanas óseas acústicas insuficientes. 7,8 De la misma manera, el UD-c vertebrobasilar también se ha considerado y comparado contra UD-c transcraneal para detectar CDI.…”

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“…7,8 De la misma manera, el UD-c vertebrobasilar también se ha considerado y comparado contra UD-c transcraneal para detectar CDI. 6…”

Section: Wwwmedigraphicorgmxunclassified

Ultrasonido Doppler con contraste para el diagnóstico de cortocircuito de derecha a izquierda: revisión sistemática y metaanálisis

Trasviña¹,

Díaz²,

Márquez³

2020

Medicina Crítica

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“…[ 2 ] The presence of PFO has been pointed out to be strongly related to various disease processes, which includes cryptogenic stroke, transient ischemic attack, migraine headaches, peripheral arterial embolism, platypnea-orthodeoxia syndrome, and decompression sickness. [ 3 , 4 ] Characterized by moderate or severe headache attacks and reversible neurological and systemic symptoms, migraine is a chronic neurological disorder, which is one of the most prevalent and disabling medical illnesses all over the world. [ 5 ] Migraines influence about 13% of the population aged 20 to 64, with one third of migraineurs suffering migraine with aura (MA).…”

Section: Introductionmentioning

confidence: 99%

Prevalence and grade of RLS in migraine

Zhao¹,

Liu²,

Zhou³

et al. 2021

Medicine

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Background: Right-to left shunt (RLS) is regarded as a risk factor resulting in migraine, but the relevance between the RLS and migraine remains controversial. This paper aims at investigating the prevalence and RLS grade of patent foramen ovale (PFO) in cases of migraine (including migraine with and without aura) and evaluate the relationship between PFO and migraine. Methods: Synchronous test of contrast transthoracic echocardiography and contrast transcranial Doppler ultrasonography was performed in 251 cases of migraine, which contains 62 cases of migraine with aura (MA) and 189 cases without aura (MO) and 275 healthy adults. Among these cases, 25 cases with migraine and 14 healthy adults were evaluated through transesophageal echocardiography. Results: (1). The prevalence of permanent RLS, total RLS, and large RLS in migraine was 11.16%, 39.04%, and 17.13%, respectively, which was significantly higher than that of the controls ( P = .042, <.001, and.001, respectively). (2). Permanent RLS was detected as 7.93% of the cases in MO, 20.96% in MA, and 6.18% in controls. Total RLS was detected as 35.98% of the cases in MO, 48.38% in MA, and 23.64% in controls. Large RLS was detected as 13.76% of the cases in MO, 27.41% in MA, and 7.27% in controls. Compared with controls, the positive rate of total RLS and large RLS in MO increased ( P = .004 and.022, respectively), the that of permanent RLS, total RLS, and large RLS in MA also increased ( P < .001 for each of the comparisons). The positive rate of permanent RLS and large RLS in MA was remarkably higher than that in MO ( P = .005 and.013, respectively). (3) The presence of large-size PFO (≥2.0 mm) of migraine showed higher than that of the controls ( P = .048). Conclusions: PFO is associated with the migraine (especially with aura), when it is permanent RLS, large RLS, and large-size PFO (≥2.0 mm).

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Comparison of Vertebral Artery and Middle Cerebral Artery Monitoring for Right-to-left Shunt Detection by Contrast-enhanced Transcranial Doppler

Cited by 9 publications

References 24 publications

Prevalence and grade of RLS in migraine: a prospective study of 251 migraineurs by synchronous test of c-TTE and c-TCD

Prevalence and grade of RLS in migraine: a prospective study of 251 migraineurs by synchronous test of c-TTE and c-TCD

Ultrasonido Doppler con contraste para el diagnóstico de cortocircuito de derecha a izquierda: revisión sistemática y metaanálisis

Prevalence and grade of RLS in migraine

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