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R.R. Parsamyan

Razumovsky Saratov State Medical University

O.M. Posnenkova

Razumovsky Saratov State Medical University

M.O. Zhuravlev

Saratov State University;
National Medical Research Center for Therapy and Preventive Medicine

A.O. Selskii

Razumovsky Saratov State Medical University;
Saratov State University

A.R. Kiselev

National Medical Research Centre of Therapy and Preventive Medicine

A.V. Fisun

Razumovsky Saratov State Medical University

A.E. Runnova

Razumovsky Saratov State Medical University;
Saratov State University;
National Medical Research Center for Therapy and Preventive Medicine

Journal: Russian Journal of Pain. 2024;22(1): 18–26

Headache chronification: analysis of evoked potentials for stimulus

Authors:

R.R. Parsamyan, O.M. Posnenkova, M.O. Zhuravlev, A.O. Selskii, A.R. Kiselev, A.V. Fisun, A.E. Runnova

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DOI: 10.17116/pain20242201118

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Parsamyan RR, Posnenkova OM, Zhuravlev MO, Selskii AO, Kiselev AR, Fisun AV, Runnova AE. Headache chronification: analysis of evoked potentials for stimulus. Russian Journal of Pain. 2024;22(1):18‑26. (In Russ., In Engl.).
https://doi.org/10.17116/pain20242201118

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OBJECTIVE

To identify the markers of migraine chronification using automatic analysis of evoked potentials.

MATERIAL AND METHODS

The study involved 24 persons with migraine without aura. Special EEG monitoring was made in all patients to identify and analyze the stimulated evoked potentials.

RESULTS

Spatial distribution of the quality of evoked potentials turns out to be more as an individual characteristic of each patient. However, comparison of scalp zones of low and high quality evoked potentials revealed significant differences between patients with rare episodic and frequent migraine attacks. Perhaps, migraine chronification in this case leads to neurophysiological cerebral changes. At the same time, no difference between patients with chronic and frequent migraine causes some concerns regarding potential transformation of frequent migraines to chronic pain in certain patients. This may be due to some neurophysiological mechanism of chronification process.

CONCLUSION

The presented method in further development can reveal a tendency towards pain chronification and contribute to early therapeutic prevention of chronic migraine.

Keywords:

migraine
headache
evoked potentials
diagnosis
headache chronification

Authors:

R.R. Parsamyan

Razumovsky Saratov State Medical University

O.M. Posnenkova

Razumovsky Saratov State Medical University

M.O. Zhuravlev

Saratov State University;
National Medical Research Center for Therapy and Preventive Medicine

A.O. Selskii

Razumovsky Saratov State Medical University;
Saratov State University

A.R. Kiselev

National Medical Research Centre of Therapy and Preventive Medicine

A.V. Fisun

Razumovsky Saratov State Medical University

A.E. Runnova

Razumovsky Saratov State Medical University;
Saratov State University;
National Medical Research Center for Therapy and Preventive Medicine

Received:

02.05.2023

Accepted:

16.11.2023

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