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Abstract #0848

GABA and glutamate changes over time in children with migraine

Tiffany K Bell1,2,3, Lydia Y Cho1,2,3, Jonathan Kuziek4, Kayla Millar2,3, Mehak Stokoe1,2,3, Andrew D Hershey5,6, Serena L Orr2,3,4,7,8, and Ashley D Harris1,2,3
1Department of Radiology, University of Calgary, Calgary, AB, Canada, 2Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada, 3Alberta Children's Hospital Research Institute, University of Calgary, Calgary, AB, Canada, 4Department of Pediatrics, University of Calgary, Calgary, AB, Canada, 5Division of Neurology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States, 6Department of Pediatrics, University of Cincinnati, Cincinnati, OH, United States, 7Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada, 8Department of Clinical Neurosciences, University of Calgary, Calgary, AB, Canada

Synopsis

Keywords: Neuro, Neurotransmission, Migraine

Motivation: Adolescence is a transitory time for migraine in youth. However, there is a lack of research into interactions between brain chemistry changes and migraine progression across adolescence.

Goal(s): Assess the relationship between changes in glutamate and GABA, and migraine burden during adolescence.

Approach: Magnetic resonance spectroscopy (MRS) was used to measure glutamate and GABA levels in youth with and without migraine across two timepoints (on average, 3 years apart).

Results: A decrease in thalamic GABA levels over time was related to new onset migraine in previously unaffected adolescents and worsening of migraine impact in those who already had migraine.

Impact: This longitudinal study demonstrates a role for changes in thalamic GABA levels over time in migraine burden in adolescents, providing new evidence for a role of GABA in migraine onset and progression, and a potential opportunity for new treatment targets.

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