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
Benha Medical Journal
Article 1, Volume 42, Issue 7, July 2025, Page 687-696 PDF (576.35 K)
Document Type: Original Article
DOI: 10.21608/bmfj.2025.198073.1773
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Authors
Neveen Abdallah Gomaa ¹; Abozid Abd Allah Abd Elaal Khodair²; Maged Kamal Faheem³; Seham Abbas Ali Zobaa⁴; Raghdaa Abd Elkhalek Abd Elhalem⁴
¹Department of Neurology, Faculty of Medicine, Benha University
²Neuro-phsychiatry Department-Faculty of Medicine-Benha University
³Assistant Professor of Neurology, Faculty of Medicine, Benha University
⁴Lecturer of Neurology, Faculty of Medicine, Benha University
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
Cerebral Blood Flow; Velocity. Migraine; Tension Headache


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