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However, the underlying neurophysiological mechanism remains poorly understood. This study aimed to investigate whether top\u2010down and bottom\u2010up attentional mechanisms, as indexed by alpha\u2010 and gamma\u2010band oscillatory activity measured with magnetoencephalography are altered in patients with episodic migraine without aura during the interictal phase.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In a cross\u2010sectional study (conducted in 2016\u20132017 in Lyon area of France) with a comparison of matched groups, 19 patients with migraine without aura and 19 healthy participants performed an attentional task involving visually cued auditory targets and distracting sounds to evaluate conjointly top\u2010down and bottom\u2010up attention mechanisms. Magnetoencephalography was used to record anticipatory alpha activity (power increase and decrease) and distractor\u2010induced gamma activity as markers for top\u2010down (inhibition and facilitation) and bottom\u2010up attention, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Compared to healthy participants, patients with migraine exhibited a significantly less prominent alpha power increase in visual areas in anticipation of the auditory target (permutation tests, cluster significance\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.043), indicating a reduced inhibition of task\u2010irrelevant visual areas. In contrast, there was no significant group difference regarding the alpha power decrease in the relevant auditory cortices in anticipation of the target (permutation tests, cluster significance,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.310), nor regarding the distractor\u2010induced gamma power increase in the ventral attention network (permutation tests, cluster significance\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.999).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These results suggest an impairment of top\u2010down attentional inhibitory processes in migraine, as reflected by the altered alpha modulation in the visual cortex. This relative inability to suppress irrelevant sensory information may underlie the self\u2010reported increased distractibility and contribute to sensory disturbances in migraine.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/head.70108","type":"journal-article","created":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T09:15:05Z","timestamp":1781514905000},"page":"1459-1473","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Deficient inhibition of irrelevant visual information in migraine: A\n                    <scp>magnetoencephalography<\/scp>\n                    study of alpha\u2010band activity"],"prefix":"10.1111","volume":"66","author":[{"given":"R\u00e9my","family":"Masson","sequence":"first","affiliation":[{"name":"Universit\u00e9 Claude Bernard Lyon 1, INSERM, CNRS, Centre de Recherche en Neurosciences de Lyon CRNL U1028 UMR 5292  Bron 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