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Neuropsychological assessment in migraine patients: a descriptive review on cognitive implications

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Abstract

Migraine is considered a disabling disorder with highly prevalence in population. Recent studies report that migraine patients have a cognitive decline associated to structural brain alterations. We search on PubMed and Web of Science databases and screening references of included studies and review articles for additional citations. From 519 studies identified, only 16 met the inclusion criteria. All studies were conducted on 1479 migraineurs (190 non-migraine headache and 11,978 controls subject) and examined the association between migraine and cognitive impairment. The results are discordant. Indeed, while cognitive deficits during the attack of migraine are now recognized, only few studies confirmed the presence of cognitive impairment in migraine patients. Given the prevalence of migraine in the population (especially among women), and the early age of the population, an association between migraine and cognitive impairment could have substantial public health implications. Future studies should determine if specific migraine characteristics, for example, attack frequency, may impact the association between migraine and cognitive decline.

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References

  1. Lipton RB, Bigal ME, Diamond M, Freitag F, Reed ML, Stewart WF, AMPP Advisory Group (2007) Migraine prevalence, disease burden, and the need for preventive therapy. Neurology 68(5):343–349

    Article  CAS  PubMed  Google Scholar 

  2. Stovner LJ, Zwart JA, Hagen K, Terwindt GM, Pascual J (2006) Epidemiology of headache in Europe. Eur J Neurol 13(4):333–345

    Article  CAS  PubMed  Google Scholar 

  3. Lipton RB, Stewart WF, Diamond S, Diamond ML, Reed M (2001) Prevalence and burden of migraine in the United States: data from the American Migraine Study II. Headache 41(7):646–657

    Article  CAS  PubMed  Google Scholar 

  4. World Health Organization (2008) The Global Burden of Disease. A response to the need for comprehensive, consistent and comparable global information on diseases and injuries 2003

  5. Headache Classification Committee of the International Headache Society (IHS) (2013) The International classification of headache disorders, (beta version). Cephalalgia 33(9):629–808

    Article  Google Scholar 

  6. Corallo F, De Cola MC, Lo Buono V, Grugno R, Pintabona G, Lo Presti R et al (2015) Assessment of anxiety, depressive disorders and pain intensity in migraine and tension headache patients. Acta Medica 31:615

    Google Scholar 

  7. Migraine ID (2007) Diagnosing and managing migraine headache

  8. Breslau N, Davis GC, Schultz LR, Paterson EL (1994) Migraine and major depression: a longitudinal study. Headache 34(7):387–393

    Article  CAS  PubMed  Google Scholar 

  9. Edwards KR, Rosenthal BL, Farmer KU, Cady RK, Browning R (2013) Evaluation of Sumatriptan-Naproxen in the treatment of acute migraine: a placebo-controlled, double-blind, cross-over study assessing cognitive function. Headache 53(4):656–664

    Article  PubMed  Google Scholar 

  10. Kruit MC, Launer LJ, Ferrari MD, Van Buchem MA (2006) Brain stem and cerebellar hyperintense lesions in migraine. Stroke 37(4):1109–1112

    Article  PubMed  Google Scholar 

  11. Kruit MC, van Buchem MA, Hofman PA, Bakkers JT, Terwindt GM, Ferrari MD, Launer LJ (2004) Migraine as a risk factor for subclinical brain lesions. JAMA 291(4):427–434

    Article  CAS  PubMed  Google Scholar 

  12. Kurth T, Mohamed S, Maillard P, Zhu YC, Chabriat H, Mazoyer B et al (2011) Headache, migraine, and structural brain lesions and function: population based epidemiology of vascular ageing-MRI study. BMJ 342:c7357

    Article  PubMed  PubMed Central  Google Scholar 

  13. Schmitz N, Arkink EB, Mulder M, Rubia K, Admiraal-Behloul F, Schoonmann GG et al (2008) Frontal lobe structure and executive function in migraine patients. Neurosci Lett 440(2):92–96

    Article  CAS  PubMed  Google Scholar 

  14. Farmer K, Cady R, Bleiberg J, Reeves D (2000) A pilot study to measure cognitive efficiency during migraine. Headache 40(8):657–661

    Article  CAS  PubMed  Google Scholar 

  15. Hooker WD, Raskin NH (1986) Neuropsychologic alterations in classic and common migraine. Arch Neurol 43(7):709–712

    Article  CAS  PubMed  Google Scholar 

  16. Farmer KU, Cady RK, Reeves D, Bleiberg J (1999) Cognitive efficiency during migraine. In: Neurology (vol 52, no 6, pp A469–A470). Lippincott Williams & Wilkins, Philadelphia

  17. Black L, Horn G, Miller D, Logue PE, Durham N (1997) Migraine headache disorder and cognitive abilities. Headache 37:A301–A302

    Google Scholar 

  18. Le Pira F, Zappala G, Giuffrida S, Bartolo ML, Reggio E, Morana R, Lanaia F (2000) Memory disturbances in migraine with and without aura: a strategy problem? Cephalalgia 20(5):475–478

    Article  PubMed  Google Scholar 

  19. Weintraub S (1985) Mental state assessment of young and elderly adults in behavioral neurology. Princ Behav Neurol:71–123

  20. Raven J (2000) The Raven’s progressive matrices: change and stability over culture and time. Cogn Psychol 41(1):1–48

    Article  CAS  PubMed  Google Scholar 

  21. Tombaugh TN, Kozak J, Rees L (1999) Normative data stratified by age and education for two measures of verbal fluency: FAS and animal naming. Arch Clin Neuropsychol 14(2):167–177

    CAS  PubMed  Google Scholar 

  22. Caffarra P, Vezzadini G, Dieci F, Zonato F, Venneri A (2002) Rey–Osterrieth complex figure: normative values in an Italian population sample. Neurol Sci 22(6):443–447

    Article  CAS  PubMed  Google Scholar 

  23. Wechsler D (1945) A standardized memory scale for clinical use. J Psychol 19(1):87–95

    Article  Google Scholar 

  24. Milner B (1971) Interhemispheric differences in the localization of psychological processes in man. Br Med Bull

  25. Delis DC, Kramer JH, Kaplan E, Ober BA (1987) California verbal learning test: adult version. The Psychological Corporation, San Antonio, TX

    Google Scholar 

  26. Hamilton M (1960) A rating scale for depression. J Neurol Neurosurg Psychiatry 23(1):56

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Camarda C, Monastero R, Pipia C, Recca D, Camarda R (2007) Interictal executive dysfunction in migraineurs without aura: relationship with duration and intensity of attacks. Cephalalgia 27(10):1094–1100

    Article  CAS  PubMed  Google Scholar 

  28. Folstein MF, Folstein SE, McHugh PR (1975) “Mini-mental state”: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 12(3):189–198

    Article  CAS  PubMed  Google Scholar 

  29. De Renzi A, Vignolo LA (1962) Token test: a sensitive test to detect receptive disturbances in aphasics. Brain

  30. Colombo L, Brivio C, Benaglio I, Siri S, Cappa SF (2000) Alzheimer patients’ ability to read words with irregular stress. Cortex 36(5):703–714

    Article  CAS  PubMed  Google Scholar 

  31. Nelson HE (1982) National Adult Reading Test (NART): for the assessment of premorbid intelligence in patients with dementia: test manual. NFER-Nelson

  32. Giovagnoli AR, Del Pesce M, Mascheroni S, Simoncelli M, Laiacona M, Capitani E (1996) Trail making test: normative values from 287 normal adult controls. Ital J Neurol Sci 17(4):305–309

    Article  CAS  PubMed  Google Scholar 

  33. Novelli G, Papagno C, Capitani E, Laiacona M (1986) Tre test clinici di memoria verbale a lungo termine: taratura su soggetti normali. Archivio di psicologia, neurologia e psichiatria

  34. Heaton RK, Chelune GJ, Talley JL, Kay GG, Curtiss G (1981) Wisconsin card sorting test (WCST). Psychological Assessment Resources, Odessa, FL

    Google Scholar 

  35. Hamilton MAX (1959) The assessment of anxiety states by rating. Br J Med Psychol 32(1):50–55

    Article  CAS  PubMed  Google Scholar 

  36. Zhang J, Wang G, Jiang Y, Dong W, Tian Y, Wang K (2012) The study of time perception in migraineurs. Headache 52(10):1483–1498

    Article  PubMed  Google Scholar 

  37. Shao Z, Janse E, Visser K, Meyer AS (2014) What do verbal fluency tasks measure? Predictors of verbal fluency performance in older adults. Frontiers Psychol

  38. Spielberger CD, Gorsuch RL, Lushene RE, Vagg PR (1970) State-trait anxiety inventory (STAI). BIB 2010:180

    Google Scholar 

  39. Beck AT, Steer RA, Carbin MG (1988) Psychometric properties of the beck depression inventory: twenty-five years of evaluation. Clin Psychol Rev 8(1):77–100

    Article  Google Scholar 

  40. Martins IP, Gil-Gouveia R, Silva C, Maruta C, Oliveira AG (2012) Migraine, headaches, and cognition. Headache 52(10):1471–1482

    Article  PubMed  Google Scholar 

  41. Wechsler D (1945). Wechsler memory scale

  42. Stroop JR (1935) Studies of interference in serial verbal reactions. J Exp Psychol 18(6):643

    Article  Google Scholar 

  43. Wechsler D (1958) The measurement and appraisal of adult intelligence

  44. Rizzo S, Venneri A, Papagno C (2002) Famous face recognition and naming test: a normative study. Neurol Sci 23(4):153–159

    Article  CAS  PubMed  Google Scholar 

  45. Kurlowicz L, Greenberg SA (2007) The geriatric depression scale (GDS). AJN 107(10):67–68

    Article  Google Scholar 

  46. Bennett-Levy J, Powell GE (1980) The Subjective Memory Questionnaire (SMQ). An investigation into the self-reporting of ‘real-life’memory skills. Br J Soc Clin Psychol 19(2):177–188

    Article  Google Scholar 

  47. Kalaydjian A, Zandi PP, Swartz KL, Eaton WW, Lyketsos C (2007) How migraines impact cognitive function findings from the Baltimore ECA. Neurology 68(17):1417–1424

    Article  CAS  PubMed  Google Scholar 

  48. Zeitlin C, Oddy M (1984) Cognitive impairment in patients with severe migraine. Br J Clin Psychol 23(1):27–35

    Article  PubMed  Google Scholar 

  49. Brooks JBB, Giraud VO, Saleh YJ, Rodrigues SJ, Daia LA, Fragoso YD (2011) Paced auditory serial addition test (PASAT): a very difficult test even for individuals with high intellectual capability. Arq Neuropsiquiatr 69(3):482–484

    Article  PubMed  Google Scholar 

  50. Warrington EK, Ackroyd C (1975) The effect of orienting tasks on recognition memory. Memory Cogn 3(2):140–142

    Article  CAS  Google Scholar 

  51. Raven JC (1958) Guide to using the Mill Hill vocabulary scale with the progressive matrices scales

  52. Crisp AH, Jones MG, Slater P (1978) The Middlesex Hospital questionnaire: a validity study. Br J Med Psychol 51(3):269–280

    Article  CAS  PubMed  Google Scholar 

  53. Jelicic M, Van Boxtel MP, Houx PJ, Jolles J (2000) Does migraine headache affect cognitive function in the elderly? Report from the Maastricht Aging Study (MAAS). Headache 40(9):715–719

    Article  CAS  PubMed  Google Scholar 

  54. Smith A (1968) SDMT: a neuropsychological test for economic screening. Hear Disord 3:83–91

    Google Scholar 

  55. Brand N, Jolles J (1985) Learning and retrieval rate of words presented auditorily and visually. J Gen Psychol 112(2):201–210

    Article  CAS  PubMed  Google Scholar 

  56. Pearson AJ, Chronicle EP, Maylor EA, Bruce LA (2006) Cognitive function is not impaired in people with a long history of migraine: a blinded study. Cephalalgia 26(1):74–80

    Article  CAS  PubMed  Google Scholar 

  57. Heim AW (1947) An attempt to test high-grade intelligence. Br J Psychol 37(2):70–81

    CAS  Google Scholar 

  58. Rubia K, Smith AB, Woolley J, Nosarti C, Heyman I, Taylor E, Brammer M (2006) Progressive increase of frontostriatal brain activation from childhood to adulthood during event-related tasks of cognitive control. Hum Brain Mapp 27(12):973–993

    Article  PubMed  Google Scholar 

  59. Rubia K, Smith AB, Taylor E, Brammer M (2007) Linear age-correlated functional development of right inferior fronto-striato-cerebellar networks during response inhibition and anterior cingulate during error-related processes. Hum Brain Mapp 28(11):1163–1177

    Article  PubMed  Google Scholar 

  60. Kawashima R, Satoh K, Itoh H, Ono S, Furumoto S, Gotoh R et al (1996) Functional anatomy of GO/NO-GO discrimination and response selection—a PET study in man. Brain Res 728(1):79–89

    CAS  PubMed  Google Scholar 

  61. Baars MA, Van Boxtel MP, Jolles J (2010) Migraine does not affect cognitive decline: results from the Maastricht aging study. Headache 50(2):176–184

    Article  PubMed  Google Scholar 

  62. Rist PM, Dufouil C, Glymour MM, Tzourio C, Kurth T (2011) Migraine and cognitive decline in the population-based EVA study. Cephalalgia 31(12):1291–1300

    Article  PubMed  PubMed Central  Google Scholar 

  63. Vakil E, Blachstein H (1993) Rey auditory-verbal learning test: structure analysis. J Clin Psychol 49(6):883–890

    Article  CAS  PubMed  Google Scholar 

  64. Benton AL (1980) The neuropsychology of facial recognition. Am Psychol 35(2):176

    Article  CAS  PubMed  Google Scholar 

  65. Shimoyama I, Ninchoji T, Uemura K (1990) The finger-tapping test: a quantitative analysis. Arch Neurol 47(6):681–684

    Article  CAS  PubMed  Google Scholar 

  66. Rist PM, Kang JH, Buring JE, Glymour MM, Grodstein F, Kurth T (2012) Migraine and cognitive decline among women: prospective cohort study

  67. Gfeller JD, Horn GJ (1996) The East Boston Memory Test: a clinical screening measure for memory impairment in the elderly. J Clin Psychol 52(2):191–196

    Article  CAS  PubMed  Google Scholar 

  68. Koppen H, Palm-Meinders I, Kruit M, Lim V, Nugroho A, Westhof I et al (2011) The impact of a migraine attack and its after-effects on perceptual organization, attention, and working memory. Cephalalgia 31(14):1419–1427

    Article  PubMed  Google Scholar 

  69. Mulder EJCM, Linssen WHJP, Passchier J, Orlebeke JF, Geus ED (1999) Interictal and postictal cognitive changes in migraine. Cephalalgia 19(6):557–565

    Article  CAS  PubMed  Google Scholar 

  70. Otto DA, Skalik I, House DE, Hudnell HK (1996) Neurobehavioral Evaluation System (NES): comparative performance of 2nd-, 4th-, and 8th-grade Czech children. Neurotoxicol Teratol 18(4):421–428

    Article  CAS  PubMed  Google Scholar 

  71. Crichton N (2001) Visual analogue scale (VAS). J Clin Nurs 10(5):706

    Google Scholar 

  72. Dresler T, Lürding R, Paelecke-Habermann Y, Gaul C, Henkel K, Lindwurm-Späth A et al (2012) Cluster headache and neuropsychological functioning. Cephalalgia 32(11):813–821

    Article  PubMed  Google Scholar 

  73. Leijdekkers ML, Passchier J, Goudswaard P, Menges LJ, Orlebeke JF (1990) Migraine patients cognitively impaired? Headache 30(6):352–358

    Article  CAS  PubMed  Google Scholar 

  74. Baker EL (1985) A computer-based neurobehavioral evaluation system for occupational and environmental epidemiology: methodology and validation studies. Neurobehav Toxicol Teratol

  75. Pietrobon D, Striessnig J (2003) Neurobiology of migraine. Nat Rev Neurosci 4(5):386–398

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Viviana Lo Buono.

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Foti, M., Lo Buono, V., Corallo, F. et al. Neuropsychological assessment in migraine patients: a descriptive review on cognitive implications. Neurol Sci 38, 553–562 (2017). https://doi.org/10.1007/s10072-017-2814-z

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