Queckenstedt's test headache response is associated with increased jugular venous flow volume during migraine attack

Chi Hsiang Chou, Jong Ling Fuh, Shuu Jiun Wang, Han Hwa Hu, Jaw Ching Wu, Yu Ting Cheng

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Cephalic venous congestion induced by Queckenstedt's (Q)-test, i.e., transient compression of bilateral internal jugular veins (IJV), can aggravate headache intensity during migraine attacks, especially in patients with throbbing pain. We hypothesized that the IJV flow volume was related to the Q-test response. Ultrasonography was used to measure the flow volume of bilateral IJV in migraine patients during acute attacks and interictal periods and in normal controls. All acute migraine patients underwent Q-test in a supine position. "Q-test headache response" was designated by the changes in headache intensity (0-10 scale) before and 30 s after the Q-test. Thirty-nine acute migraine patients, 20 interictal migraine patients and 23 noxrmal controls completed the study. Acute migraine patients had higher bilateral IJV flow volume than both interictal patients and normal controls (973.4 ± 348.2 vs. 733.8 ± 210.1 vs. 720.3 ± 244.9 mL/min, p = 0.001). In acute migraine patients, bilateral IJV flow volume was the only independent variable related to the Q-test headache response (adjusted R2= 0.422). Thus, the IJV flow volume was increased during migraine attacks and was directly related to the Q-test response. It may be used as a research tool for peripheral sensitization during acute migraine attacks.

Original languageEnglish
Pages (from-to)23-28
Number of pages6
JournalUltrasound in Medicine and Biology
Volume37
Issue number1
DOIs
Publication statusPublished - Jan 1 2011
Externally publishedYes

Fingerprint

headache
Migraine Disorders
attack
Headache
Neck
veins
Jugular Veins
supine position
congestion
pain
Supine Position
Hyperemia
Ultrasonography
Head

Keywords

  • Internal jugular vein
  • Migraine
  • Queckenstedt's test
  • Throbbing
  • Ultrasonography

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Biophysics
  • Acoustics and Ultrasonics

Cite this

Queckenstedt's test headache response is associated with increased jugular venous flow volume during migraine attack. / Chou, Chi Hsiang; Fuh, Jong Ling; Wang, Shuu Jiun; Hu, Han Hwa; Wu, Jaw Ching; Cheng, Yu Ting.

In: Ultrasound in Medicine and Biology, Vol. 37, No. 1, 01.01.2011, p. 23-28.

Research output: Contribution to journalArticle

Chou, Chi Hsiang ; Fuh, Jong Ling ; Wang, Shuu Jiun ; Hu, Han Hwa ; Wu, Jaw Ching ; Cheng, Yu Ting. / Queckenstedt's test headache response is associated with increased jugular venous flow volume during migraine attack. In: Ultrasound in Medicine and Biology. 2011 ; Vol. 37, No. 1. pp. 23-28.
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