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Permanent Cerebral Vessel Occlusion via Double Ligature and Transection
Published on: July 21, 2013
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
Abstract:
Migraine and cerebrovascular disorders are comorbid diseases and the overlap of their clinical symptoms has relevant diagnostic and therapeutic implications. The prototypic condition of this relationship is reproduced by a clinical event named migrainous infarction (MI), listed by the ICHD-II among the "complication of migraine." We discuss the diagnostic criteria proposed for this rare condition with regard to the epidemiological studies and the clinicopathogenetic implications. In the clinical setting therefore, "possible" cases of migrainous infarction should undergo an extended diagnostic workup to rule out symptomatic migraine due to extra/intra-cranial vascular pathology (artery dissection/malformations, venous thrombosis) and to exclude a causal role for other conditions. These include patent foramen ovale and thrombophylic status that may become critical risk factors for stroke, particularly among migraineurs, in coincidence with precipitating factors that should be more accurately considered in each single case.
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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