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Published on: June 18, 2021
Headache and acute stroke.
Dara G Jamieson1, Natalie T Cheng, Maryna Skliut
1Weill Cornell Medical College, New York Presbyterian Hospital, 428 East 72nd Street, Suite 400, New York, NY, 10021, USA, dgj2001@med.cornell.edu.
Prominent headaches, including migraine with aura, are linked to increased stroke risk. Certain neurological disorders and pregnancy also raise the risk of both ischemic and hemorrhagic stroke.
Area of Science:
- Neurology
- Vascular Neurology
- Neurocritical Care
Background:
- Prominent headaches, such as migraine with aura, are associated with increased risks of ischemic and hemorrhagic stroke.
- Several neurological disorders, including central nervous system vasculitis, posterior reversible encephalopathy syndrome, reversible cerebral vasoconstriction syndrome, and cerebral venous thrombosis, present with severe headaches and elevate stroke risk.
- Pregnancy and the postpartum period represent a critical time for the overlap of new-onset headaches and heightened stroke risk.
Purpose of the Study:
- To review the association between headache disorders and stroke risk.
- To highlight specific neurological conditions that increase the risk of both ischemic and hemorrhagic stroke.
- To emphasize the heightened stroke risk during pregnancy and postpartum, particularly in the context of new-onset headaches.
Main Methods:
- Literature review of studies investigating headache disorders and stroke.
- Analysis of clinical presentations of stroke, differentiating between ischemic and hemorrhagic types.
- Examination of risk factors for stroke, including specific neurological syndromes and the peripartum period.
Main Results:
- Migraine with aura and cerebral arterial and venous diseases are identified as conditions increasing stroke risk.
- Central nervous system vasculitis, posterior reversible encephalopathy syndrome, reversible cerebral vasoconstriction syndrome, and cerebral venous thrombosis are linked to increased risk of ischemic and hemorrhagic stroke.
- Hemorrhagic strokes are more frequently associated with distinct headaches and focal neurological symptoms compared to ischemic strokes.
Conclusions:
- Disorders causing prominent headaches significantly increase the risk of stroke.
- Early recognition and management of these headache disorders and associated neurological conditions are crucial for stroke prevention.
- The peripartum period requires careful consideration of headache symptoms as potential indicators of increased stroke risk.
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Hemorrhagic Stroke l: Introduction
Stroke: Introduction and Types
Hemorrhagic Stroke ll: Pathophysiology
Transient Ischemic Attack l: Introduction
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