We examined differences between migraine patients and matched
healthy controls in anticipatory processes preceding a warning
stimulus and preceding a response stimulus during a forewarned
choice reaction time task. We manipulated stimulus preceding
negativity (SPN) by inserting full response information either
at the instant of the warning stimulus (cue) or at the instant
of the response stimulus. In contrast to control subjects,
migraineurs with aura show low anticipation towards an informative
cue and high anticipation towards a noninformative cue. Migraineurs
without aura showed a cortical hypoactivation during motor
preparation prior to the response stimulus. We propose a functional
deficiency within frontal structures or the anterior cingulate
cortex in migraine. This might explain the reduced anticipation,
as well as the slow responses during selective attention that
we previously reported in these patients.