Retinal Vasculopathy with Cerebral leukodystrophy & migraine
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patient group (RVCL and migraine): - age >=18 years - Diagnosed with : i) RVCL with proven TREX1 mutation; AND/OR ii) migraine with or without aura according to the criteria of the International Headache Society (IHS) - ability and willingness to provide written informed consent;control subjects: -age >=18 years - Not genetically related to an RVCL patient OR genetic testing has ruled out TREX1 mutations - no (history) of migraine attacks - age and sex matched with the patients - Ability and willingness to provide written informed consent
Exclusion criteria
Exclusion criteria: All subjects: - Subjects who do not want to be informed about unexpected findings that are considered serious, with prognostic or therapeutic consequences. This does not concern genetic test results. - History of severe kidney dysfunction - Previous allergic-like reaction to gadolinium-containing contrast agents - Contraindications to MR Imaging (such as presence of metal objects in/on the body that cannot be removed);Migraine patients and control subjects: - Presence of known (cerebro) vascular diseases such as overt manifestations of hypertensive/ atherosclerotic vascular disease, excessive anticoagulation (INR >3.0), CNS disorders, vasculitis, blood dyscrasia, diabetes mellitus, severe clinical relevant carotid artery stenosis. ;Specific exclusion criteria for participants in the cerebrovascular reactivity measurements: - Severe asthma - COPD - Seizures within the previous year
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. The prevalence and distribution of disease specific structural and functional MRI abnormalities, including (i) brain (non-)lacunar infarcts, (ii) white matter hyperintensities (deep and periventricular), (iii) widened perivascular spaces, (iv) microbleeds, (v) cerebral *pseudotumor* mass lesions, (vi) permeability of the blood brain barrier, (vii) white matter connectivity, (viii) brain activity in rest. 2. Cerebrovascular reactivity after inducing hypercapnia as a measure of endothelial function | — |
Countries
Netherlands