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Commentary on headache currents articles by Alhazzani and Goddeau

Nabih M Ramadan1

  • 1Division of Developmental Disabilities, Nebraska Department of Health and Human Services, Lincoln, Nebraska, USA.

Headache
|April 19, 2013
PubMed

Insights

Headaches can signal cerebrovascular disease, especially hemorrhagic types. Migraine with aura may increase stroke risk, with links to cerebrovascular disease being causal, coincidental, or co-morbid.

Area of Science:

  • Neurology
  • Vascular Neurology

Background:

  • Headache is a recognized symptom associated with cerebrovascular diseases.
  • Specific headache disorders, such as migraine with aura, are increasingly linked to stroke risk.

Purpose of the Study:

  • To explore the complex relationship between headache disorders and cerebrovascular diseases.
  • To elucidate the potential causal, coincidental, or co-morbid nature of these associations.

Main Methods:

  • Literature review and synthesis of existing research on headache and cerebrovascular events.
  • Analysis of epidemiological data and clinical case studies.

Main Results:

  • Headache is a prominent symptom in hemorrhagic cerebrovascular disease.
  • Migraine with aura is identified as a significant risk factor for both ischemic and potentially hemorrhagic stroke.

Conclusions:

  • The association between migraine and cerebrovascular disease is multifaceted, encompassing causal, coincidental, and co-morbid pathways.
  • Understanding these links is crucial for accurate diagnosis and risk stratification in patients presenting with headache.

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