Related Experiment Video
Updated: Jun 13, 2026

10:39
3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
Published on: June 2, 2014
Migraine and cerebrovascular risk
1S. Andrea Hospital, La Spezia, Italy. massimo.delsette@asl5.liguria.it
Summary
Migraine, especially with aura, doubles stroke risk. Migraineurs should adopt preventive strategies to reduce cerebrovascular disease risk, considering factors like gender and smoking.
Area of Science:
- Neurology
- Vascular Neurology
- Epidemiology
Background:
- Migraine, particularly with aura, is recognized as a significant risk factor for cerebrovascular diseases.
- The relative risk of stroke among individuals with migraine is approximately twofold.
- This risk is further elevated by specific coexisting factors such as female gender, cigarette smoking, and the use of older hormonal contraceptives.
Purpose of the Study:
- To elucidate the association between migraine and cerebrovascular disease.
- To identify key risk factors that potentiate stroke risk in migraineurs.
- To emphasize the importance of primary stroke prevention strategies for individuals with migraine.
Main Methods:
- This study is a review of existing literature and epidemiological data.
- Analysis of relative risk and attributable risk factors in migraine populations.
- Synthesis of current understanding regarding the mechanisms linking migraine to stroke.
Main Results:
- Migraineurs exhibit a twofold increased relative risk of stroke compared to the general population.
- The risk of stroke in migraineurs is significantly amplified by female gender, smoking, and specific contraceptive use.
- While the relative risk is substantial, the absolute risk of stroke remains low.
Conclusions:
- Migraine, especially with aura, constitutes a notable risk factor for cerebrovascular events like stroke.
- Understanding and mitigating modifiable risk factors are crucial for primary stroke prevention in migraine patients.
- Further research into the underlying mechanisms is warranted to refine preventive strategies.
Related Concept Videos
Hemorrhagic Stroke l: Introduction
A hemorrhagic stroke is an acute neurological event that occurs when a weakened cerebral blood vessel ruptures, allowing blood to accumulate within or around the brain. The sudden release of blood forms a focal hematoma that increases intracranial pressure, displaces neural tissue, and can obstruct cerebrospinal fluid pathways. These effects may be compounded by intraventricular extension of the hemorrhage, cerebral edema, or compression of adjacent structures, all of which contribute to...
Increased Intracranial Pressure ll: Pathophysiology
Increased intracranial pressure (ICP) refers to a potentially life-threatening rise in pressure inside the skull. This usually happens when there is a major change in the volume of brain tissue, blood, or cerebrospinal fluid (CSF) — the three components inside the skull. According to the Monro-Kellie doctrine, if the volume of one component increases, the volumes of the other components must decrease to maintain normal pressure. If this does not happen, ICP rises.The process often begins with...
Cerebral Edema ll: Pathophysiology
Vasogenic edema is a major form of cerebral edema characterized by abnormal accumulation of fluid in the brain’s extracellular space due to disruption of the blood–brain barrier (BBB). The BBB is a specialized structure composed of endothelial cells connected by tight junctions, supported by astrocytic endfeet and a basement membrane. Under normal conditions, it tightly regulates the movement of ions, proteins, and solutes between the bloodstream and brain parenchyma. When this barrier loses...
Hemorrhagic Stroke ll: Pathophysiology
A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...
Increased Intracranial Pressure l: Introduction
Intracranial hypertension is a sustained elevation of intracranial pressure (ICP) above 22 mm Hg. In supine adults, normal ICP is ~7–15 mm Hg.The rigid, nonexpandable cranium contains three components—brain tissue, blood, and cerebrospinal fluid (CSF)—that total ~1,700 mL in a typical adult: 1,400 mL brain (~80%), 150 mL blood (~10%), and 150 mL CSF (~10%). According to the Monro–Kellie doctrine, total intracranial volume is effectively fixed. When one component expands, CSF and venous blood...
Ischemic Stroke l: Introduction
Ischemic stroke is an acute cerebrovascular condition in which blood flow to a brain region is suddenly interrupted, leading to tissue infarction. Neurons depend on continuous oxygen and glucose supply, so even brief reductions in perfusion cause energy failure, ionic imbalance, and irreversible injury. Ischemic strokes are classified into thrombotic and embolic types based on their underlying mechanisms.Thrombotic MechanismsThrombotic stroke develops when a clot forms within a cerebral artery.
