Abstract

Objectives Sound-induced flash illusions (SIFI) depend on visual cortex (V1) excitability [1]. In adults with migraine, in response to visual-acoustic illusions, V1 is hyperexcitable [2]. Susceptibility to SIFI is increased in children than adults. During childhood there is a change in sensory dominance: acoustic dominant switching to a visual [3]. Here we used SIFI to evaluate V1 excitability in children with migraine assessing also age-related differences in cross-modal audio-visual perception.

Highlights

  • Children with migraine did not differ from age matched controls in the illusory percept of fission or fusion, but they perceived more flashes (p < .05) in multiple flash trials with or without beep

  • The increased number of Sound-induced flash illusions (SIFI) seen by children is likely due to the higher propensity of visual stimulation driven by auditory stimulus, probably because of acoustic dominance typical for the age

  • The sound-induced flash illusions proved to be a valid tool for testing the visual cortical responsivity in pediatric migraine

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Summary

Objectives

Sound-induced flash illusions (SIFI) depend on visual cortex (V1) excitability [1]. In response to visual-acoustic illusions, V1 is hyperexcitable [2]. Susceptibility to SIFI is increased in children than adults. During childhood there is a change in sensory dominance: acoustic dominant switching to a visual [3]. We used SIFI to evaluate V1 excitability in children with migraine assessing age-related differences in cross-modal audio-visual perception. Materials Twelve children (7 females) affected by migraine without aura: mean age: 10.17±2.76 years, disease duration: 2.91 ±2.34 years and frequency of attacks: 4.17±3.76/months. Fifteen healthy children (11 females), mean age 10.61±2.92 years and twenty-four healthy adults (12 females), mean age 25.12±5.74 years with no familiarity for migraine. All subjects were not taking any drugs known to affect cortical excitability.

Results
Conclusions
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