1
|
Hida T, Takahashi H, Takada K, Uhara H. Halo formations around senile hemangiomas in diffuse plane normolipemic xanthomatosis associated with monoclonal gammopathy. JAAD Case Rep 2018; 4:1034-1036. [PMID: 30456279 PMCID: PMC6232699 DOI: 10.1016/j.jdcr.2018.08.012] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Affiliation(s)
- Tokimasa Hida
- Department of Dermatology, Sapporo Medical University School of Medicine, Sapporo, Japan
| | - Hiroki Takahashi
- Department of Rheumatology and Clinical Immunology, Sapporo Medical University School of Medicine, Sapporo, Japan
| | - Kohichi Takada
- Department of Medical Oncology, Sapporo Medical University School of Medicine, Sapporo, Japan
| | - Hisashi Uhara
- Department of Dermatology, Sapporo Medical University School of Medicine, Sapporo, Japan
| |
Collapse
|
2
|
Mikhailov N, V. Mamontov O, A. Kamshilin A, Giniatullin R. Parasympathetic Cholinergic and Neuropeptide Mechanisms of Migraine. Anesth Pain Med 2016; 7:e42210. [PMID: 28920040 PMCID: PMC5554415 DOI: 10.5812/aapm.42210] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2016] [Revised: 10/19/2016] [Accepted: 11/21/2016] [Indexed: 12/24/2022] Open
Abstract
Context Migraine mechanisms remain largely uncovered for various reasons including a very high complexity of the neurophysiological mechanisms implicated in this disorder and a plethora of endogenous biologically active compounds involved in the pathological process. The functional role of parasympathetic innervation of meninges and cholinergic mechanisms of migraine are among little explored issues despite multiple evidence indirectly indicating the role of acetylcholine (ACh) and its analogues in migraine and other types of headache. In the current short review, we discuss morphological, functional, and clinical issues related to the role of ACh and its analogues such as carbachol and nicotine in this most common neurological disorder. Evidence Acquisition In the present work, studies published from 1953 to 2016 were investigated. Literature was searched with following keywords: acetylcholine (ACh), carbachol, nicotine, parasympathetic, mast cells, vasoactive intestinal polypeptide (VIP), and pituitary adenylate cyclase-activating polypeptide (PACAP). Results Parasympathetic fibers originated from SPG and trigeminal nerves can interact at the level of meninges which is considered to be the origin site of migraine pain. Here, in dura mater, ACh, VIP, and PACAP released by parasympathetic afferents can both affect mast cells provoking its degranulation and additional release of neurotransmitters, or they can directly affect trigeminal nerves inducing nociception. Conclusions In summary, cholinergic mechanisms in migraine and other types of headache remain little elucidated and future studies should clarify the role of parasympathetic nerves and molecular mechanisms of cholinergic modulation within the nociceptive system.
Collapse
Affiliation(s)
- Nikita Mikhailov
- Department of Neurobiology, University of Eastern Finland, 70210 Kuopio, Finland
| | - Oleg V. Mamontov
- Department of Circulation Physiology, Federal Almazov North-West Medical Research Centre, St. Petersburg, 197341, Russia
- Department of Computer Photonics and Videomatics, ITMO University, St. Petersburg, 197101, Russia
| | - Alexei A. Kamshilin
- Department of Computer Photonics and Videomatics, ITMO University, St. Petersburg, 197101, Russia
- Corresponding author: Alexei A. Kamshilin, Department of Computer Photonics and Videomatics, ITMO University, St. Petersburg, 197101, Russia, E-mail:
| | - Rashid Giniatullin
- Department of Neurobiology, University of Eastern Finland, 70210 Kuopio, Finland
- Department of Computer Photonics and Videomatics, ITMO University, St. Petersburg, 197101, Russia
- Laboratory of Neurobiology, Kazan Federal University, Kazan, Russia
| |
Collapse
|
3
|
Mamontov OV, Babayan L, Amelin AV, Giniatullin R, Kamshilin AA. Autonomous control of cardiovascular reactivity in patients with episodic and chronic forms of migraine. J Headache Pain 2016; 17:52. [PMID: 27167136 PMCID: PMC4864743 DOI: 10.1186/s10194-016-0645-6] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2016] [Accepted: 05/07/2016] [Indexed: 12/28/2022] Open
Abstract
BACKGROUND The autonomous cardiovascular control can contribute to progression of migraine. However, current data on cardiovascular reactivity in migraine, especially severe forms, are essentially contradictory. The main aim of this study was to compare the autonomous regulation of circulation in patients with episodic and chronic migraine and healthy subjects. METHODS Seventy three migraine patients (mean age 35 ± 10) including episodic migraine (51 patients, 4-14 headache days/months) and chronic migraine (22 patients, ≥15 headache days/month) along with age-match control (71 healthy voluntaries) were examined. The autonomic regulation of circulation was examined with the tilt-table test, a deep breathing and Valsalva Maneuver, handgrip test, cold-stress vasoconstriction, arterial baroreflex and blood pressure variability. RESULTS The changes in heart rate induced by deep breathing, Valsalva Maneuver, and blood pressure in tilt-table test in patients with migraine did not differ from the control group. In contrast, the values of cold-stress-vasoconstriction forearm blood-flow reactivity (p <0.001), the increase in diastolic blood pressure in handgrip test (p <0.001), mean blood pressure in the late stage of the second phase of Valsalva Maneuver (p <0.001) and blood pressure variability (p <0.005) were all higher in patients with migraine than in the control group. CONCLUSION Thus, both episodic and chronic migraine are associated with significant disturbances in autonomous control resulting in enhanced vascular reactivity whereas the cardiac regulation remains largely unchanged.
Collapse
Affiliation(s)
- Oleg V Mamontov
- Almazov Federal Heart, Blood and Endocrinology Centre, St. Petersburg, Russia.,Pavlov First Saint Petersburg State Medical University, St. Petersburg, Russia.,Department of Computer Photonics and Videomatics, ITMO University, St. Petersburg, Russia
| | - Laura Babayan
- Pavlov First Saint Petersburg State Medical University, St. Petersburg, Russia.,Department of Computer Photonics and Videomatics, ITMO University, St. Petersburg, Russia
| | - Alexander V Amelin
- Pavlov First Saint Petersburg State Medical University, St. Petersburg, Russia.,Department of Computer Photonics and Videomatics, ITMO University, St. Petersburg, Russia
| | - Rashid Giniatullin
- Department of Neurobiology, University of Eastern Finland, Kuopio, Finland.,Kazan Federal University, Kazan, Russia.,Department of Computer Photonics and Videomatics, ITMO University, St. Petersburg, Russia
| | - Alexei A Kamshilin
- Department of Computer Photonics and Videomatics, ITMO University, St. Petersburg, Russia.
| |
Collapse
|
4
|
de Souza GAGR, Brioschi ML, Vargas JVC, Morais KCC, Dalmaso C, Neves EB. Reference breast temperature: proposal of an equation. EINSTEIN-SAO PAULO 2015; 13:518-24. [PMID: 26761549 PMCID: PMC4878624 DOI: 10.1590/s1679-45082015ao3392] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2015] [Accepted: 08/18/2015] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE To develop an equation to estimate the breast reference temperature according to the variation of room and core body temperatures. METHODS Four asymptomatic women were evaluated for three consecutive menstrual cycles. Using thermography, the temperature of breasts and eyes was measured as indirect reference of core body and room temperatures. To analyze the thermal behavior of the breasts during the cycle, the core body and room temperatures were normalized by means of a mathematical equation. RESULTS We performed 180 observations and the core temperature had the highest correlation with the breast temperature, followed by room temperature. The proposed prediction model could explain 45.3% of the breast temperature variation, with variable room temperature variable; it can be accepted as a way to estimate the reference breast temperature at different room temperatures. CONCLUSION The average breast temperature in healthy women had a direct relation with the core and room temperature and can be estimated mathematically. It is suggested that an equation could be used in clinical practice to estimate the normal breast reference temperature in young women, regardless of the day of the cycle, therefore assisting in evaluation of anatomical studies.
Collapse
Affiliation(s)
| | | | | | | | - Carlos Dalmaso
- Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
| | | |
Collapse
|
5
|
Pryazhnikov E, Kislin M, Tibeykina M, Toptunov D, Ptukha A, Shatillo A, Gröhn O, Giniatullin R, Khiroug L. Opposite reactivity of meningeal versus cortical microvessels to the nitric oxide donor glyceryl trinitrate evaluated in vivo with two-photon imaging. PLoS One 2014; 9:e89699. [PMID: 24586970 PMCID: PMC3938546 DOI: 10.1371/journal.pone.0089699] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2013] [Accepted: 01/23/2014] [Indexed: 11/18/2022] Open
Abstract
Vascular changes underlying headache in migraine patients induced by Glyceryl trinitrate (GTN) were previously studied with various imaging techniques. Despite the long history of medical and experimental use of GTN, its effects on the brain vasculature are still poorly understood presumably due to low spatial resolution of the imaging modalities used so far. We took advantage of the micrometer-scale vertical resolution of two-photon microscopy to differentiate between the vasodynamic effects of GTN on meningeal versus cortical vessels imaged simultaneously in anesthetized rats through either thinned skull or glass-sealed cranial window. Intermediate and small calibre vessels were visualized in vivo by imaging intravascular fluorescent dextran, and detection of blood flow direction allowed identification of individual arterioles and venules. We found that i.p.-injected GTN induced a transient constriction of meningeal arterioles, while their cortical counterparts were, in contrast, dilated. These opposing effects of GTN were restricted to arterioles, whereas the effects on venules were insignificant. Interestingly, the NO synthase inhibitor L-NAME did not affect the diameter of meningeal vessels but induced a constriction of cortical vessels. The different cellular environment in cortex versus meninges as well as distinct vessel wall anatomical features probably play crucial role in the observed phenomena. These findings highlight differential region- and vessel-type-specific effects of GTN on cranial vessels, and may implicate new vascular mechanisms of NO-mediated primary headaches.
Collapse
Affiliation(s)
- Evgeny Pryazhnikov
- Neuroscience Center, University of Helsinki, Helsinki, Finland
- Neurotar LTD, Helsinki, Finland
| | - Mikhail Kislin
- Neuroscience Center, University of Helsinki, Helsinki, Finland
| | | | | | - Anna Ptukha
- Neuroscience Center, University of Helsinki, Helsinki, Finland
| | - Artem Shatillo
- A. I. Virtanen Institute for Molecular Sciences, University of Eastern Finland, Kuopio, Finland
| | - Olli Gröhn
- A. I. Virtanen Institute for Molecular Sciences, University of Eastern Finland, Kuopio, Finland
| | - Rashid Giniatullin
- A. I. Virtanen Institute for Molecular Sciences, University of Eastern Finland, Kuopio, Finland
| | - Leonard Khiroug
- Neuroscience Center, University of Helsinki, Helsinki, Finland
- Neurotar LTD, Helsinki, Finland
- * E-mail:
| |
Collapse
|
6
|
Zaproudina N, Teplov V, Nippolainen E, Lipponen JA, Kamshilin AA, Närhi M, Karjalainen PA, Giniatullin R. Asynchronicity of facial blood perfusion in migraine. PLoS One 2013; 8:e80189. [PMID: 24324592 PMCID: PMC3851171 DOI: 10.1371/journal.pone.0080189] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2013] [Accepted: 09/29/2013] [Indexed: 11/20/2022] Open
Abstract
Asymmetrical changes in blood perfusion and asynchronous blood supply to head tissues likely contribute to migraine pathophysiology. Imaging was widely used in order to understand hemodynamic variations in migraine. However, mapping of blood pulsations in the face of migraineurs has not been performed so far. We used the Blood Pulsation Imaging (BPI) technique, which was recently developed in our group, to establish whether 2D-imaging of blood pulsations parameters can reveal new biomarkers of migraine. BPI characteristics were measured in migraineurs during the attack-free interval and compared to healthy subjects with and without a family history of migraine. We found a novel phenomenon of transverse waves of facial blood perfusion in migraineurs in contrast to healthy subjects who showed synchronous blood delivery to both sides of the face. Moreover, the amplitude of blood pulsations was symmetrically distributed over the face of healthy subjects, but asymmetrically in migraineurs and subjects with a family history of migraine. In the migraine patients we found a remarkable correlation between the side of unilateral headache and the direction of the blood perfusion wave. Our data suggest that migraine is associated with lateralization of blood perfusion and asynchronous blood pulsations in the facial area, which could be due to essential dysfunction of the autonomic vascular control in the face. These findings may further enhance our understanding of migraine pathophysiology and suggest new easily available biomarkers of this pathology.
Collapse
Affiliation(s)
- Nina Zaproudina
- Institute of Biomedicine, University of Eastern Finland, Kuopio, Finland
- Institute of Dentistry, University of Eastern Finland, Kuopio, Finland
| | - Victor Teplov
- Department of Applied Physics, University of Eastern Finland, Kuopio, Finland
| | - Ervin Nippolainen
- Department of Applied Physics, University of Eastern Finland, Kuopio, Finland
| | - Jukka A. Lipponen
- Department of Applied Physics, University of Eastern Finland, Kuopio, Finland
| | - Alexei A. Kamshilin
- Department of Applied Physics, University of Eastern Finland, Kuopio, Finland
- * E-mail:
| | - Matti Närhi
- Institute of Biomedicine, University of Eastern Finland, Kuopio, Finland
- Institute of Dentistry, University of Eastern Finland, Kuopio, Finland
| | - Pasi A. Karjalainen
- Department of Applied Physics, University of Eastern Finland, Kuopio, Finland
| | - Rashid Giniatullin
- Department of Neurobiology, A. I. Virtanen Institute, University of Eastern Finland, Kuopio, Finland
| |
Collapse
|
7
|
Zaproudina N, Lipponen JA, Karjalainen PA, Kamshilin AA, Giniatullin R, Närhi M. Acral coldness in migraineurs. Auton Neurosci 2013; 180:70-3. [PMID: 24080404 DOI: 10.1016/j.autneu.2013.09.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2013] [Revised: 08/19/2013] [Accepted: 09/03/2013] [Indexed: 10/26/2022]
Abstract
In search for new biomarkers of vascular disturbances accompanying migraine, we compared the facial and hand skin temperatures in 41 women, including 12 migraine patients during the headache-free period and 29 healthy controls. Compared to the controls, the acral skin temperatures were lower in migraineurs, especially in those with right-sided headache. Our findings suggest that migraine is associated with a peripheral coldness possibly due to abnormal autonomic vascular control. The cold nose and hands may represent easily assessable biomarkers of these disorders.
Collapse
Affiliation(s)
- Nina Zaproudina
- Institute of Biomedicine, University of Eastern Finland, P.O. Box 1627, FIN-70211 Kuopio, Finland; Institute of Dentistry, University of Eastern Finland, P.O. Box 1627, FIN-70211 Kuopio, Finland.
| | - Jukka A Lipponen
- Department of Applied Physics, University of Eastern Finland, Kuopio, Finland
| | - Pasi A Karjalainen
- Department of Applied Physics, University of Eastern Finland, Kuopio, Finland
| | - Alexei A Kamshilin
- Department of Applied Physics, University of Eastern Finland, Kuopio, Finland
| | - Rashid Giniatullin
- A. I. Virtanen Institute for Molecular Sciences, University of Eastern Finland, Kuopio, Finland
| | - Matti Närhi
- Institute of Biomedicine, University of Eastern Finland, P.O. Box 1627, FIN-70211 Kuopio, Finland; Institute of Dentistry, University of Eastern Finland, P.O. Box 1627, FIN-70211 Kuopio, Finland
| |
Collapse
|