• Amy R Tso, Andrew Trujillo, Christine C Guo, Peter J Goadsby, and William W Seeley.
• From the Headache Group (A.R.T., P.J.G.) and Memory and Aging Center (A.R.T., A.T., C.C.G., W.W.S.), Department of Neurology, University of California, San Francisco; and NIHR/Wellcome Trust Clinical Research Facility (P.J.G.), King's College London, UK. amy.tso@ucsfmedctr.org.
• Neurology. 2015 Mar 10; 84 (10): 1043-50.

ObjectiveWe sought to explore whether patients with migraine show heightened interictal intrinsic connectivity within primary sensory networks, the salience network, and a network anchored by the dorsal pons, a region known to be active during migraine attacks.MethodsUsing task-free fMRI and a region-of-interest analysis, we compared intrinsic connectivity patterns in 15 migraineurs without aura to 15 age- and sex-matched healthy controls, focusing on networks anchored by the calcarine cortex, Heschl gyrus, right anterior insula, and dorsal pons, a region active during migraine attacks. We also examined the relationship between network connectivity, migraine frequency, and sensory sensitivity symptoms.ResultsMigraineurs showed increased connectivity between primary visual and auditory cortices and the right dorsal anterior insula, between the dorsal pons and the bilateral anterior insulae, and between the right and left ventral anterior insulae. Increased connectivity showed no clinical correlation with migraine frequency or sensory sensitivity.ConclusionsPatients with migraine display interictal changes in the topology of intrinsic connections, with greater connectivity between primary sensory cortices, the pons, and the anterior insula, a region involved in representing and coordinating responses to emotional salience.© 2015 American Academy of Neurology.

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