Should migraine without aura be further divided? A study of 1444 female patients with migraine without aura.

To explore the possibility of further dividing migraine without aura (MWA), 1444 female patients fulfilled the criterion were recruited, and grouped basing on the association of MWA onset with menarche and childbirth (group J1, onset before menarche; group J2, onset between menarche and childbirth; group J3, onset after childbirth). By comparing migraine (side, location, aggravated by routine physical activity, NRS score, frequency, accompanying symptoms, with premonitory symptom (PS) and trigger, sum of PS and trigger) and migraine-related factors [chronic daily headache, medicine overused headache, body mass index (BMI), education level, exercise status, sleep status, consumption of tea/coffee/alcohol, patient health questionnaire-9 (PHQ-9) score and generalized anxiety disorder-7, (GAD-7) score)] among groups, it was found that the J1 group and the J2 group presented more typical migraine features than the J3 group; 2) the J3 group was more prone to emotion and sleep disorders, weight management issues, frequent migraine attacks and medication overuse. This study provided a basis for further dividing MWA. Genetic research should be conducted and treatment should be prescribed accordingly because the underlying pathogenesis may be different.

Near-infrared spectroscopy as a tool for driving research.

Driving a motor vehicle requires various cognitive functions to process surrounding information, to guide appropriate actions, and especially to respond to or integrate with numerous contextual and perceptual hindrances or risks. It is, thus, imperative to examine driving performance and road safety from a perspective of cognitive neuroscience, which considers both the behaviour and the functioning of the brain. However, because of technical limitations of current brain imaging approaches, studies have primarily adopted driving games or simulators to present participants with simulated driving environments that may have less ecological validity. Near-infrared spectroscopy (NIRS) is a relatively new, non-invasive brain-imaging technique allowing measurement of brain activations in more realistic settings, even within real motor vehicles. This study reviews current NIRS driving research and explores NIRS' potential as a new tool to examine driving behaviour, along with various risk factors in natural situations, promoting our understanding about neural mechanisms of driving safety. Practitioner Summary: Driving a vehicle is dependent on a range of neurocognitive processing abilities. Near-infrared spectroscopy (NIRS) is a non-invasive brain-imaging technique allowing measurement of brain activation even in on-road studies within real motor vehicles. This study reviews current NIRS driving research and explores the potential of NIRS as a new tool to examine driving behaviour.