Alterations in the interstitial microenvironment across headache phases and clinical phenotypes in migraine: A multimodal diffusion MRI study.
Multimodal diffusion MRI found no overall differences between migraine participants and healthy controls, but chronic migraine with medication-overuse headache showed reduced extracellular volume fraction and increased intracellular volume fraction versus controls, in the corpus callosum, anterior thalamic radiation, cingulum and optic radiations. Similar alterations appeared during headache. The findings suggest interstitial microenvironment changes tied to headache phase and disease burden rather than a stable trait.