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Stroke and migraine.

Jesse Weinberger1

  • 1Department of Neurology, Box 1052, The Mount Sinai School of Medicine, 1 Gustave Levy Place, New York, NY 10029, USA. jesse.weinberger@mssm.edu

Current Cardiology Reports
|March 17, 2007
PubMed
Summary
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Young patients with migraine, especially those with aura, face higher stroke risks. Identifying and treating underlying causes is crucial for preventing migrainous stroke, with prophylactic therapy potentially beneficial.

Area of Science:

  • Neurology
  • Vascular Medicine
  • Pediatric Neurology

Background:

  • Migraine, particularly migraine with aura, is associated with an increased risk of stroke in young patients.
  • Several potential causes of ischemia in migraine patients exist, including patent foramen ovale and clotting system hyperactivity.

Purpose of the Study:

  • To review the risk factors and diagnostic criteria for migrainous stroke in young patients.
  • To discuss the potential benefits of prophylactic therapy in preventing migrainous stroke.

Main Methods:

  • Literature review of studies on migraine, stroke, and associated risk factors in pediatric and young adult populations.
  • Analysis of diagnostic criteria for migrainous stroke, emphasizing the exclusion of other causes.

Related Experiment Videos

Main Results:

  • Young migraine patients, especially those with aura, have a heightened risk of stroke.
  • Migrainous stroke diagnosis requires the exclusion of all other stroke etiologies and evidence of irreversible aura with ischemic infarct.

Conclusions:

  • Migrainous stroke is a diagnosis of exclusion in young patients with migraine and focal neurological deficits.
  • Prophylactic treatment for migraine with aura may play a role in preventing migrainous stroke.