Ersoy, Alevtina; Yasar, Hasan; Mertoglu, Cuma; Koc, Ural; Akturan, Selcuk; Gok, Gamze; Erel, Ozcan

Objective: White matter lesions (WMLs) are more common in migraine patients than in the normal population. Ischemia/hypoxia and oxidative stress are considered to play a role in WMLs formation. This study aimed to investigate ischemia-modified albumin (IMA), ferroxidase and thiol/disulfide homeostasis in migraineurs with and without WMLs. Patients and Methods: Sixty-two migraineurs with WML, 59 migraineurs without WML and 61 controls were included in the study. All participants underwent brain MRI. WMLs was evaluated according to the Fazekas scale. IMA, ferroxidase, total thiol, native thiol and disulfide measurements were carried out in all participants. Results: The IMA levels were higher in the migraine groups compared to the control group (p < 0.001) and in the WML group compared to non-WML (p < 0.001). The total and native thiol levels were higher in the non-WML group compared to the control and WML groups (p < 0.001 for both). The disulfide levels were similar between the control and non-WML groups, but they were significantly lower in the WML group compared to the control and non-WML groups. There was no significant difference between the groups in terms of the ferroxidase levels (p = 0.092). The thiol/disulfide, IMA and ferroxidase levels were not significantly correlated with the frequency and duration of attacks, severity of pain and disability due to migraine. Conclusion: Increased serum IMA levels in migraineurs point to the role of ischemia/hypoxia, and increased total thiol and decreased disulfide levels indicate an oxidant/antioxidant imbalance in migraine. Ischemia/hypoxia may play a role in WMLs formation in migraine.

Ersoy, Alevtina; Mertoglu, Cuma; Yasar, Hasan; Koc, Ural; Akturan, Selcuk; Gok, Gamze; Erel, Ozcan

The authors regret that the second and the third name in the order of the authors were erroneously misplaced in the published article. As indicated in the “Authors’ individual contributions,” Cuma Mertoglu participated in Data Curation, Validation, Writing – Review and Editing, while Hasan Yasar contributed to Investigation only. Since the role of Cuma Mertoglu in writing the article is more significant than that of Hasan Yasar we have made changes to the order of authors. The authors would like to apologise for any inconvenience caused.