Complications of migraine: migrainous infarction

Giorgio Bono1, Giorgio Minonzio, Marco Mauri

  • 1Universitary Center for Adaptive Disorders and Headache, Dipartimento di Medicina Clinica, Università degli Studi dell'Insubria, Varese, Italy. neurova@tin.it

Insights

Migrainous infarction (MI) is a rare complication of migraine. Extended diagnostic workup is crucial to differentiate MI from other cerebrovascular disorders and identify risk factors in migraine patients.

Area of Science:

  • Neurology
  • Vascular Neurology
  • Neuroscience

Background:

  • Migraine and cerebrovascular disorders frequently coexist.
  • Clinical symptom overlap presents diagnostic and therapeutic challenges.
  • Migrainous infarction (MI) exemplifies the complex relationship between migraine and stroke.

Purpose of the Study:

  • To discuss diagnostic criteria for migrainous infarction.
  • To explore epidemiological and clinicopathogenetic implications of MI.
  • To emphasize the importance of ruling out other conditions in suspected MI cases.

Main Methods:

  • Review of diagnostic criteria for migrainous infarction.
  • Analysis of epidemiological studies on MI.
  • Discussion of clinicopathogenetic factors.

Main Results:

  • Migrainous infarction is a rare complication of migraine.
  • Extended diagnostic workup is necessary for "possible" MI cases.
  • Conditions like patent foramen ovale and thrombophilia are critical risk factors for stroke in migraineurs.

Conclusions:

  • Accurate diagnosis of migrainous infarction requires excluding symptomatic migraine due to vascular pathology.
  • Identifying and considering precipitating factors is essential.
  • Further research into the interplay between migraine and cerebrovascular events is warranted.

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