Migren hastalığı ile kafa tabanı açıları arasında bir ilişki var mı?

Yıl 2018, Cilt: 10 Sayı: 4, 456 - 470, 01.12.2018

Neşe Asal , Mehmet Hamdi Şahan

https://doi.org/10.21601/ortadogutipdergisi.411138

Öz

Amaç: Migren hastalarında, manyetik rezonans görüntülerine göre kafa tabanı
açılarında değişkenliğin olup olmadığının belirlenmesi amaçlandı.

Gereç ve Yöntem: 18-50 yaş aralığında 65 migren
tanılı ve 65 kontrol grubu olmak üzere toplam 130 manyetik rezonans görüntüleri
retrospektif olarak incelendi. Migren ve kontrol grubu arasında modifiye bazal
açı, klivo-aksiyal açı manyetik rezonans görüntülerde tek radyolog tarafından
ölçüldü. Gruplar arasında karşılaştırmada bağımsız t testi kullanıldı. P
<0.05 istatiksel olarak anlamlı olarak kabul edildi.  Ayrıca baziler invajinasyon (McGregor ve
Chamberline hattına göre) açısından değerlendirme yapıldı.

Bulgular: Migren grubu 13 erkek, 52 kadındı
(yaş ortalaması erkek 30.38±11.5, kadın 32.54±9 yıl). Kontrol grubu 15 erkek, 50
kadındı (yaş ortalaması erkek 34.4±8.6, kadın 33.14±9.7 yıl). Migren grubunda; modifiye
bazal açı ortalaması 123.78±6.06°, klivo-aksiyal
açı ortalaması 142.65±8.73°’idi. Kontrol
grubunda; modifiye bazal açı ortalaması 121.6±5.5°,
klivo-aksiyal açı ortalaması 153.66±6.35°’idi.
Gruplar arasında anlamlı farklılık saptandı (p <0,05). Her iki grup için
cinsiyetler arasında farklılık saptanmadı. Ayrıca migren grubunda; 3 hastada McGregor
hattına göre ve 2 hastada McGregor ve Chamberline hattına göre baziler invajinasyon
izlendi. Kontrol grubunda baziler invajinasyon saptanmadı.

Sonuç: Migren hastalarında, manyetik
rezonans görüntülerine göre kafa tabanı açılarında (modifiye bazal açı ve klivo-aksiyal
açı) değişiklikler görülmektedir.

Anahtar Kelimeler

Manyetik rezonans görüntüleme, migren, kafa tabanı

Is there a relationship between migraine disease and the skull base angles?

Öz

Aim: The
aim of the study was to determine whether there were variability in the skull
base according to magnetic resonance images in migraine patients.

Material
and Method: A total of 130 magnetic resonans images,
including 65 migraine and 65 control groups were retrospectively in the age
range 18-50 years. Modified basal angle (MBA), clivo-axial angle in
migraine and control groups were measured by a radiologist in magnetic resonans images. The
independent t test was used to compare between the groups. The level of
significance was set at p < 0.05. In addition, basilar invagination
(according to McGregor and Chamberlain line) was evaluated.

Results: The
migraine group was 13 male, 52 female (mean age of
male 30.38±11.5, mean age of female 32.54±9 years). The
control group was 15 males, 50 females (mean age of male
34.4 ±8.6, mean age of female 33.14±9.7 years). In the migraine group; the
modified basal angle average was 123.78 ± 6.06° and the clivo-axial angle average was 142.65 ±
8.73°. In
the control group; the modified basal angle average was 121.6 ± 5.5° and
the clivo-axial angle average was 153.66 ± 6.35°. Significant differences were detected between
the groups. There was no difference between the genders for
both groups. In the migraine group; according to McGregor line in 3
patients and McGregor and Chamberlain line in 2 patients, basilar invagination
was observed. Basilar invagination was not detected in the
control group.   

Conclusion: Changes
in the skull base angles (modified basal angle and clivo-axial angle) are
observed in migraine patients
according to magnetic resonance
images.

Anahtar Kelimeler

magnetic resonans imaging, migraine, skull base

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