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Migraine and the risks from angiography.

A Shuaib1, V C Hachinski

  • 1Department of Clinical Neurological Sciences, University Hospital, London, Ontario, Canada.

Archives of Neurology
|August 1, 1988
PubMed
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Patients with migraine do not face increased risks from cerebral angiography. This study found complication rates similar to the general population, indicating angiography is safe for migraineurs, even during acute headaches.

Area of Science:

  • Neurology
  • Radiology
  • Vascular Imaging

Background:

  • Migraine patients may have a higher risk of complications from cerebral angiography.
  • Previous literature suggests a potential link between migraine and adverse events post-angiography.

Purpose of the Study:

  • To evaluate the risk of complications associated with cerebral angiography in patients with a history of migraine.
  • To determine if migraineurs experience a higher complication rate compared to the general population undergoing angiography.

Main Methods:

  • Retrospective chart review of 142 patients with migraine who underwent 149 angiograms.
  • Analysis of complication rates, including transient and focal cerebral events.
  • Comparison of complication rates with a prospective study of 1002 patients.

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Main Results:

  • Focal cerebral events occurred in 2.6% of migraine patients.
  • Overall complication rate (2.6%) was comparable to the general population (2.8%).
  • Transient neurologic symptoms were observed, particularly in classic migraine cases.

Conclusions:

  • A history of migraine does not appear to increase the risk of complications from cerebral angiography.
  • Cerebral angiography is a safe procedure for patients with migraine, including during acute headache episodes.
  • Transient focal neurologic symptoms can occur, especially in classic migraine.