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A study for pathophysiological mechanism of the central sensitization using the brain mapping in patients with severe refractory migraine

Research Project

Project/Area Number 15K09358
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Neurology
Research InstitutionDokkyo Medical University

Principal Investigator

Hirata Koichi  獨協医科大学, 医学部, 教授 (60189834)

Co-Investigator(Kenkyū-buntansha) 田中 秀明  獨協医科大学, 医学部, 准教授 (50296159)
高嶋 良太郎  獨協医科大学, 医学部, 助教 (50591939)
Project Period (FY) 2015-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2017: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2016: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2015: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords脳電場解析 / 慢性片頭痛 / 前兆のある片頭痛 / 前兆のない片頭痛 / 皮質拡延性抑制 / 下降抑制系障害 / 慢性片頭痛重症度解析 / 薬物乱用頭痛重症度解析
Outline of Final Research Achievements

The refractory chronic headache greatly impairs not only the migraine patients but social productivity.To elucidate the pathophysiology in the supersensitive brain state of refractory migraine attacks, , moreover, to discover the treatment and prophylaxis for the refractory chronic migraine, we analyzed a brain electric field under the light stimulation induced brain supersensitivity. As a result, the suppression of the cortical hyperexcitation is seen only in migraine without aura patients.
This result suggested that the suppression of the cortical hyperexcitation by cortical spreading depression may have a role for inhibition to excitation in limbic system, vestibular system and the vomiting center.

Academic Significance and Societal Importance of the Research Achievements

重篤な慢性頭痛は,本人の生活のみでなく社会の生産性を大きく損なう.このような難治性慢性頭痛患者を対象に,その症状を惹起させる刺激を行い,その際の脳の活動を脳波の地図ともいえるものを作成した.その結果,前兆のない片頭痛患者とされる片頭痛患者では,刺激にともなう異常活動の抑制がされず持続的に脳が不必要な活性を呈し,不安,めまい,嘔吐などをもたらすことを解明しえた.

Report

(5 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Research-status Report
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (26 results)

All 2019 2018 2017 2016

All Journal Article (9 results) (of which Peer Reviewed: 7 results,  Acknowledgement Compliant: 4 results) Presentation (17 results) (of which Int'l Joint Research: 4 results)

  • [Journal Article] Restless legs syndrome is associated with headache-related disabilities in patients with migraine: a prospective 7-year follow-up study2019

    • Author(s)
      Suzuki K, Suzuki S, Haruyama Y, Kobashi G, Shiina T, Hirata K
    • Journal Title

      Eur J Neurol. 2019 Feb;26(2):

      Volume: 26 Issue: 2 Pages: 238-245

    • DOI

      10.1111/ene.13796

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Evaluation of Electroencephalogram Using Exact Low-Resolution Electromagnetic Tomography During Photic Driving Response in Patients with Migraine2019

    • Author(s)
      Shiina T, Takashima R, Roberto D. Pascual-Marqui, Watanabe Y, Suzuki K, Hirata K
    • Journal Title

      Neuropsychobiology

      Volume: 77 Issue: 4 Pages: 186-191

    • DOI

      10.1159/000489715

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 当院における片頭痛患者の卵円孔開存の頻度と大脳白質病変に関する検討2018

    • Author(s)
      岩崎晶夫,竹川英宏,鈴木圭輔,鈴木綾乃,高嶋良太郎,鈴木紫布,平田幸一
    • Journal Title

      日本頭痛学会誌

      Volume: 45 Pages: 7-11

    • Related Report
      2018 Annual Research Report
  • [Journal Article] 片頭痛様頭痛に対しトリプタンの効果がみられた片頭痛の既往のある海綿静脈洞部硬膜動静脈瘻の69歳女性Triptan-responsive migraine-like headache caused by cavernous sinus dural arteriovenous fistula in a 69-year-old woman with a history of migraine without aura2018

    • Author(s)
      齋木美佳,鈴木圭輔, 竹川英宏, 金谷英明, 河本俊介, 中村利生, 平田幸一
    • Journal Title

      臨床神経学

      Volume: 58 Pages: 188-192

    • Related Report
      2018 Annual Research Report
  • [Journal Article] 頭痛2017

    • Author(s)
      高嶋良太郎,竹川英宏,平田幸一
    • Journal Title

      Modern Physician

      Volume: 37 Pages: 661-664

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Primary headaches in patients with obstructive sleep apnea syndrome receiving continuous positive airway pressure therapy2017

    • Author(s)
      渡邉悠児,鈴木圭輔,宮本雅之,宮本智之,平田幸一
    • Journal Title

      Neurological Therapeutics

      Volume: 33 Issue: 4 Pages: 560-565

    • DOI

      10.15082/jsnt.33.4_560

    • NAID

      130005398480

    • ISSN
      0916-8443, 2189-7824
    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] The treatment and diagnosis for refractory migraine2016

    • Author(s)
      平田幸一
    • Journal Title

      Neurological Therapeutics

      Volume: 33 Issue: 3 Pages: 357-361

    • DOI

      10.15082/jsnt.33.3_357

    • NAID

      130005279063

    • ISSN
      0916-8443, 2189-7824
    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] The effect of comorbidity of restless legs syndrome and migraine2016

    • Author(s)
      Keisuke Suzuki. Masayuki Miyamoto, Tomoyuki Miyamoto, Shiho Suzuki, Yuichi Inoue, Momoyo Murata, Kentaro Matsui, Shingo Nishida, Kenichi Hayashida, Akira Usui, Yoichiro Ueki, Masaki Nakamura, Koichi Hirata
    • Journal Title

      Sleep Biol. Rhythms

      Volume: 14 Issue: 2 Pages: 187-191

    • DOI

      10.1007/s41105-015-0039-1

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] 小児の慢性痛‐特に頭痛について‐2016

    • Author(s)
      平田幸一
    • Journal Title

      子どもの心とからだ

      Volume: 24 Pages: 414-415

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Presentation] Sudden onset of sleep caused by hypothalamic infarction2018

    • Author(s)
      Matsubara T, Suzuki K, Kawasaki A, Okamura M, Miyamoto M, Kanbayashi T, Hirata K
    • Organizer
      2nd Sleep Congress of Asian Society of Sleep Medicine (ASSM 2018)
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 片頭痛発作の誘因に空気中のCO2濃度は関係しているか?Is the atmospheric CO2 concentration related to the cause of the migraine attack?2018

    • Author(s)
      辰元宗人,星山栄成,平田幸一
    • Organizer
      第46回日本頭痛学会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 片頭痛患者のeLORETAを用いた脳活動変化の検討 Evaluation of electroencephalogram using eLORETA during photic driving response in patients with migraine2018

    • Author(s)
      椎名智彦,高嶋良太郎,Roberto D. Pascual-Marqui,渡邉由佳,鈴木圭輔,平田幸一
    • Organizer
      第46回日本頭痛学会
    • Related Report
      2018 Annual Research Report
  • [Presentation] レストレスレッグス症候群は片頭痛の日常生活支障度に影響を及ぼす:7年間の追跡研究 Comorbid restless legs syndrome predicts headache-related disabilities in patients with migraine: a prospective 7-year follow-up study2018

    • Author(s)
      鈴木圭輔,鈴木紫布,春山康夫,小橋元,椎名智彦,平田幸一
    • Organizer
      第46回日本頭痛学会
    • Related Report
      2018 Annual Research Report
  • [Presentation] ナイトドライブレンズ眼鏡を用いた片頭痛患者の予防治療 Prophylactic treatment for migraine patients using night drive lens eyeglasses2018

    • Author(s)
      辰元宗人,鈴木栄二,星山栄成,平田幸一
    • Organizer
      第46回日本頭痛学会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 夜間のブルーライトカット眼鏡装着による片頭痛患者の調査 Investigation of migraine patients by wearing blue light blocking eye glasses at night2018

    • Author(s)
      星山栄成,辰元宗人,小田博文,平田幸一
    • Organizer
      第46回日本頭痛学会
    • Related Report
      2018 Annual Research Report
  • [Presentation] Headache and migraine in Parkinson’s disease: a multicenter cross sectional study2017

    • Author(s)
      Suzuki K, Okuma Y, Uchiyama T, Miyamoto M, Sakakibara R, Shimo Y, Hattori N, Kuwabara S, Yamamoto T, Kaji Y, Hirano S, Suzuki S, Hirata K
    • Organizer
      18th Congress of the International Headache Society
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Evaluation of electroencephalogram using eLORETA during photic stimulation in patients with migraine2017

    • Author(s)
      Shiina T, Takashima R, Roberto D. Pascual-Marqui, Hirata K
    • Organizer
      18th Congress of the International Headache Society
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Preferable lighting conditions for migraineurs and non-migraineurs in working spaces2017

    • Author(s)
      Kagimoto A, Okajima K, Okuda S, Tatsumoto M, Hirata K
    • Organizer
      13th AIC International Congress
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 地域・季節の違いが睡眠にもたらす影響に関する調査 その4 睡眠の季節差に関する分析2017

    • Author(s)
      望月悦子,辰元宗人,平田幸一,村江行忠,大島佳保里,安藤満代
    • Organizer
      第50回照明学会全国大会
    • Related Report
      2017 Research-status Report
  • [Presentation] 片頭痛を有する執務者に適した照明条件の検討2017

    • Author(s)
      大垣実李,鍵本明里,奥田紫乃,岡嶋克典,辰元宗人,平田幸一
    • Organizer
      第50回照明学会全国大会
    • Related Report
      2017 Research-status Report
  • [Presentation] 片頭痛患者における光刺激中の脳活動変化: eLORETAを用いた検討2017

    • Author(s)
      椎名智彦,高嶋良太郎,渡邉由佳,Robert D Pascual-Marqi,鈴木圭輔,平田幸一
    • Organizer
      第20回日本薬物脳波学会
    • Related Report
      2017 Research-status Report
  • [Presentation] 片頭痛患者の高周波数閃光刺激での脳波変化2016

    • Author(s)
      高嶋良太郎,田中秀明,渡邉由佳,平田幸一
    • Organizer
      第19回日本薬物脳波学会
    • Place of Presentation
      ホテルブリーズベイマリーナ・タワー館・コンベンションルーム(沖縄県宮古島市)
    • Year and Date
      2016-11-12
    • Related Report
      2016 Research-status Report
  • [Presentation] 脳静脈洞血栓症の診断と治療 Diagnosis and management of cerebral venous thrombosis2016

    • Author(s)
      高嶋良太郎,竹川英宏,鈴木紫布,鈴木圭輔,星山栄成,辰元宗人,平田幸一
    • Organizer
      第44回日本頭痛学会
    • Place of Presentation
      ウェスティン都ホテル京都(京都府京都市)
    • Year and Date
      2016-10-22
    • Related Report
      2016 Research-status Report
  • [Presentation] 片頭痛患者における高周波数閃光刺激での脳波光駆動Migraineur's photic driving response at high frequency flash stimulation in EEG2016

    • Author(s)
      高嶋良太郎,田中秀明,渡邉由佳,平田幸一
    • Organizer
      第44回日本頭痛学会
    • Place of Presentation
      ウェスティン都ホテル京都(京都府京都市)
    • Year and Date
      2016-10-21
    • Related Report
      2016 Research-status Report
  • [Presentation] Unfavorable lighting conditions for migraineurs in a relaxing room2016

    • Author(s)
      Kagimoto A, Okuda S, Okajima K, Tatsumoto M, Hirata K
    • Organizer
      The 9th lighting conference of China, Japan, and Korea
    • Place of Presentation
      Busan, Korea
    • Year and Date
      2016-08-18
    • Related Report
      2016 Research-status Report
  • [Presentation] 片頭痛患者の脳波変化と臨床背景との相関2016

    • Author(s)
      高嶋良太郎 田中秀明 渡邉由佳 平田幸一
    • Organizer
      第18回日本ヒト脳機能マッピング学会
    • Place of Presentation
      京都
    • Year and Date
      2016-03-07
    • Related Report
      2015 Research-status Report

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Published: 2015-04-16   Modified: 2020-03-30  

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