Cerebral Blood Flow Velocity in Migraine and Tension Headache Patients

Gomaa, Neveen Abdallah; Khodair, Abozid Abd Allah Abd Elaal; Faheem, Maged Kamal; Ali Zobaa, Seham Abbas; Abd Elhalem, Raghdaa Abd Elkhalek

doi:10.21608/bmfj.2025.198073.1773

Cerebral Blood Flow Velocity in Migraine and Tension Headache Patients

Document Type : Original Article

Authors

¹ Department of Neurology, Faculty of Medicine, Benha University

² Neuro-phsychiatry Department-Faculty of Medicine-Benha University

³ Assistant Professor of Neurology, Faculty of Medicine, Benha University

⁴ Lecturer of Neurology, Faculty of Medicine, Benha University

10.21608/bmfj.2025.198073.1773

Abstract

Background: Migraine is the most common type of vascular headache involving abnormal sensitivity of arteries in brain to various triggers. Tension-type headache (TTH) is the most common primary headache disorder, with a worldwide lifetime prevalence of 46% to 78%. This study aimed to evaluate cerebral blood flow (CBF) velocities in migraine and Tension-type headache (TTH) patients by using transcranial Doppler (TCD). Methods: This cross-sectional study was carried out on 50 patients with migraine headache with or without aura and Tension-type headache (TTH) at the age group from (20-55). All patients were subjected to evaluation according to the International Headache Society criteria. Clinical evaluation included full history taking, general medical examination and Neurological examination, CT brain, and laboratory tests (CBC-ESR-CPR). Results: There is a high statistically significant difference between the migraine, tension type headache(TTH) and control groups regarding middle cerebral artery Doppler parameters (PSV-EDV-PI-RI) (P < 0.001). There is a high statistically significant difference between the migraine, tension type headache(TTH) and control groups regarding anterior cerebral artery Doppler parameters (PSV-EDV-PI-RI) (P < 0.001). Posterior cerebral artery Doppler parameters was significantly different between the three studied groups regarding (PSV-EDV-PI) but regarding RI there was no statistically significant difference between the three groups (P < 0.001). Conclusion: Cerebral blood flow velocity in migraine and Tension-type headache (TTH) patients is increased in anterior, middle and posterior cerebral arteries.

Keywords