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Table 2 Studies evaluating cognitive function in migraine patients < 50 years

From: Cognitive dysfunction and migraine

Migraine Phase

Cognitive Domains Affected in Migraine

Study design

Evaluation Methods

Outcome

Reference

Ictal, interictal

Executive functions

Cross sectional, clinic based

HCC-ANAM

Migraine attack negatively affects executive functions

Farmer et al., 2000, 2001 [9, 10]

Ictal

 

Cross sectional

No information about recruitment of migraine sample

MEWT- Matching to Sample

Working memory decline at the onset of a migraine attack

Edwards et al., 2013 [11]

Interictal

 

Cross sectional, clinic based

Trail Making Test, Paced Auditory Serial Addition Test

Impaired working memory and sustained attention in migraine patients

Zeitlin et al.,1984 [39]

Interictal

 

Cross sectional, clinic based

WAIS-R Digit Span Subtest

Impairment in sustained attention in migraine patients

Hooker et al., 1986 [14]

Interictal

 

Cross sectional

Migraine patients were recruited from college students

Neuropsychological Evaluation System-1) Continuous Performance with Pictures 2) Continuous Performance with Letters 3)Color Word Task 4)Symbol Digit Substitution Task

Impairment in sustained attention in migraine patients

Mulder et al.,1999 [43]

Interictal

 

Cross sectional, clinic based

Trail Making Test-B, Wisconsin Card Sorting Test

Impaired executive functions in migraine patients

Camarda et al., 2007 [47]

Interictal

 

Cross sectional, clinic based

MoCA

Migraineurs performed worse in executive functions part

Huang et al.,2017 [13]

Chronic migrainea

 

Cross sectional, clinic based

Tower of Hanoi-3

Impairments in planning, sequencing skills and working memory in migraine patients

Mongini et al., 2015 [38]

Interictal

 

Cross sectional, population based

Trail Making Test-B

Poorer performance in Trail Making Test-B in migraine patients suggesting an impairment in executive functions

Pellegrino Baena et al., 2018 [25]

Interictal

 

Cross sectional

Migraine patients were recruited from college students

Trail Making Test

No difference between migraine patients and controls regarding working memory

Burker et al., 1989 [52]

Interictal

 

Cross sectional

The migraine patients were recruited from a meeting of a local organization for migraine patients and from patients of general practitioners

Continuous Performance Test, Digit Span Backwards

No difference between migraine patients and control subjects regarding sustained attention and working memory

Leijdekkers et al., 1990 [16]

Interictal

 

Cross sectional, clinic based

Trail Making Test, Wisconsin Card Sorting test

No difference between migraine patients and control subjects

Lo Buono et al., 2017 [20]

Ictal, interictal

Attention

Cross sectional, clinic based

HCC-ANAM - Continuous Performance Test

Migraine attack negatively affects attention

Farmer et al., 2000, 2001 [9, 10]

Interictal

 

Cross sectional, clinic based

Stroop Test, Trail Making Test

Impaired attention in migraine patients

Zeitlin et al., 1984 [39]

Interictal

 

Cross sectional

Migraine patients were recruited from college students

Neuropsychological Evaluation System-1) Continuous Performance with Pictures 2) Continuous Performance with Letters 3) Color Word Task

Migraine patients were slower in tasks requiring selective attention

Mulder et al., 1999 [43]

Interictal

 

Cross sectional, clinic based

Boston Scanning Test (or Visual Continuous Performance Test)

Impaired attention in migraine patients

Le Pira et al., 2000 [15]

Interictal

 

Cross sectional, population based

Trail Making Test-B

Impairment in attention in migraine patients

Pellegrino Baena et al., 2018 [25]

Interictal

 

Cross sectional

Migraine patients were recruited from college students

Trail Making Test

No difference between migraine patients and controls

Burker et al., 1989 [52]

Interictal

 

Cross sectional

No information about recruitment of migraine sample

Automatic Attention Task and Conscious Visual Attention Task

High visual discomfort, rather than migraine is associated with poorer performance

Conlon et al., 2001 [18]

Ictal, interictal

Visuospatial memory

Cross sectional, clinic based

HCC-ANAM - Matching to sample

Visual memory was negatively affected during migraine attack

Farmer et al., 2000, 2001 [9, 10]

Ictal

 

Cross sectional

No information about recruitment of migraine sample

MEWT- Matching to Sample

Visual memory decline at the onset of a migraine attack

Edwards et al., 2013 [11]

Interictal

 

Cross sectional, clinic based

Rey Complex Figure test

Impaired visuospatial memory in migraine patients

Le Pira et al., 2000 [15]

Interictal

 

Cross sectional

Migraine patients were recruited from college students

Rey-Osterreith Complex Figure Test

No difference between migraine patients and controls

Burker et al., 1989 [52]

Interictal

 

Cross sectional

The migraine patients were recruited from a meeting of a local organization for migraine patients and from patients of general practitioners

Pattern Memory Test

No significant difference between migraine patients and control subjects

Leijdekkers et al., 1990 [16]

Ictal

Verbal memory

Cross sectional, clinic based

California Verbal Learning Test

Verbal memory performance of migraineurs were decreased during a migraine attack

Gil-Gouveia et al., 2015 [8]

Interictal

 

Cross sectional, clinic based

WMS-Revised

Verbatim recall of short stories after 30-min delay was performed significantly worse in migraineurs

Hooker et al., 1986 [14]

Interictal

 

Cross sectional, clinic based

California Verbal Learning Test

Verbal memory impairment in migraine patients

Le Pira et al., 2000 [15]

Interictal

 

Cross sectional, clinic based

MoCA

Migraineurs performed worse in verbal memory

Huang et al.,2017 [13]

Interictal

 

Cross sectional, clinic based

Memory for Intentions Screening Test

Migraine without aura patients performed significantly worse than healthy controls on time-based and event-based scales

Santangelo et al. 2018 [37]

Interictal

 

Cross sectional

Migraine patients were recruited from college students

Selective Reminding Test

No difference between migraine patients and controls

Burker et al., 1989 [52]

Interictal

 

Cross sectional

The migraine patients were recruited from a meeting of a local organization for migraine patients and from patients of general practitioners

Associate Learning

No significant difference between migraine patients and control subjects

Leijdekkers et al., 1990 [16]

Interictal

 

Cross sectional, clinic based

Rey Auditory Verbal Learning Test

No difference between migraine patients and healthy controls

Lo Buono et al., 2017 [20]

Interictal

Recognition memory

Cross sectional, clinic based

National hospital forced choice recognition test for words and faces

Migraine patients had worse performance in recognition memory tasks

Zeitlin et al., 1984 [39]

Interictal

 

Cross sectional, clinic based

Memory for Intentions Screening Test

Migraine without aura patients performed significantly worse than healthy controls on recognition subscale

Santangelo et al. 2018 [37]

Ictal, interictal

Information processing speed

Cross sectional, clinic based

HCC-ANAM - Simple reaction time

Increased cognitive processing time during a migraine attack

Farmer et al., 2000, 2001 [9, 10]

Ictal

 

Cross sectional

No information about the recruitment of migraine sample

MEWT-1) Simple reaction time 2) Procedural reaction time

Impairment in mental processing in migraine patients during a migraine attack

Edwards et al., 2013 [11]

Ictal

 

Cross sectional, clinic based

The word reading task of the Stroop

Reduced processing speed in migraine patients during a migraine attack

Gil-Gouveia et al., 2015 [8]

Post-ictal

 

Cross sectional

No information about the recruitment of migraine sample

Computerized posner paradigm, calculating visual reaction times

Reaction times (RTs) during the post-ictal period were significantly higher than the RTs during interictal period

Mazzucchi et al., 1988 [12]

Interictal

 

Cross sectional, clinic based

Stroop Test, trail making test, choice reaction time, paced auditory serial addition test

Increased reaction time in migraine patients

Zeitlin et al., 1984 [39]

Interictal

 

Cross sectional, clinic based

WAIS-R Digit Span Subtest

Reduced visuomotor processing speed in migraine patients

Hooker et al., 1986 [14]

Interictal

 

Cross sectional, clinic based

Digit Symbol Substitution Test

A poorer performance in visuomotor processing speed in migraine patients

Calandre et al., 2002 [46]

Interictal

 

Cross sectional

No information about recruitment of migraine sample

Automatic attention task and conscious visual attention task

High visual discomfort, rather than migraine is associated with poorer performance

Conlon et al., 2001 [18]

Interictal

 

Cross sectional, population based

Trail Making Test-B

Decreased processing speed in migraine patients

Pellegrino Baena et al., 2018 [25]

Interictal

 

Cross sectional

No information about the recruitment of migraine sample

Computerized posner paradigm, calculating visual reaction times

Migraine patients had RTs during the interictal period that were not significantly different from control subjects

Mazzucchi et al., 1988 [12]

Interictal

 

Cross sectional

The migraine patients were recruited from a meeting of a local organization for migraine patients and from patients of general practitioners

Simple Reaction Time, Symbol Digit Substitution Task, Color Word Vigilance Test, Pattern Comparison Task, Sternberg Memory Scanning Task

No significant difference between migraine patients and control subjects

Leijdekkers et al., 1990 [16]

Interictal

 

Cross sectional, clinic based

Word Priming Task, Orientation Search Task, Temporal Discrimination Task

No difference between migraine patients and control subjects regarding response time

Palmer et al., 1998 [19]

Interictal

 

Cross sectional, clinic based

Trail Making Test-Part A

No difference between migraine patients and healthy controls

Lo Buono et al., 2017 [20]

Ictal

Verbal skills

Cross sectional, clinic based

The word reading task of the Stroop

Disturbances in reading was observed in migraine patients during a migraine attack

Gil-Gouveia et al., 2015 [8]

Interictal

 

Cross sectional, clinic based

Mill Hill Vocabulary Scale

No difference between migraine patients and controls

Zeitlin et al., 1984 [39]

Interictal

 

Longitudinal, population based

WISC-R

Migraine patients were significantly impaired on tests of verbal ability between the ages 3 and 13 however no decline with age was observed

Waldie et al., 2002 [30]

Interictal

 

Cross sectional

Migraine patients were recruited from college students

Aphasia screening test, Speech Sounds Perception Test

No difference between migraine patients and controls

Burker et al., 1989 [52]

Interictal

 

Cross sectional

The migraine patients were recruited from a meeting of a local organization for migraine patients and from patients of general practitioners

Vocabulary Test

No significant difference between migraine patients and control subjects

Leijdekkers et al., 1990 [16]

Interictal

 

Cross sectional, clinic based

Verbal Fluency Test

No difference between migraine patients and healthy controls

Lo Buono et al., 2017 [20]

Ictal

Calculation

Cross sectional, clinic based

HCC-ANAM - Mathematical processing

Impairment in mathematical processing during a migraine attack

Farmer et al., 2000, 2001 [9, 10]

Interictal

 

Cross sectional, clinic based

Paced auditory serial addition test

Disturbance in calculation ability in migraine patients

Zeitlin et al., 1984 [39]

Interictal

 

Cross sectional, clinic based

MoCA

Calculation was impaired in migraine patients

Huang et al.,2017 [13]

Ictal

Somatosensory information processing

Cross sectional, clinic based

STD

Prolonged STD threshold values

Boran et al., 2016 [61]

Vuralli et al., 2017 [62]

Chronic migraine (during headache and headache free periods)

 

Cross sectional, clinic based

STD

Prolonged STD threshold values during both during headache and headache free periods

Vuralli et al., 2016 [63]

  1. aIt was not stated whether the patients were evaluated on a headache day or a headache free day
  2. HCC-ANAM Headache Care Center-Automated Neuropsychological Assessment Metrics, MEWT Mental Efficiency Workload Test, WAIS-R Wechsler Adult Intelligence Scale-Revised, WMS Wechsler Memory Scale, STD Somatosensory temporal discrimination