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Association between migraine and cognitive impairment.
Lihua Gu1,2, Yanjuan Wang3, Hao Shu3
1Department of Neurology, Affiliated ZhongDa Hospital, School of Medicine, Southeast University, No. 87 Dingjiaqiao Road, Nanjing, 210009, Jiangsu, China. g714775808@126.com.
Migraine is linked to poorer general cognitive and language function. This meta-analysis also found that migraine increases the risk of developing dementia, highlighting the need for intervention in at-risk individuals.
Area of Science:
- Neurology
- Cognitive Science
- Epidemiology
Background:
- Inconsistent findings exist regarding the link between migraine and cognitive impairment.
- Previous research has yielded conflicting results on migraine's association with dementia risk.
Purpose of the Study:
- To conduct a meta-analysis comparing cognitive function in migraine patients versus non-migraine subjects.
- To investigate the association between migraine and the risk of dementia.
Main Methods:
- A comprehensive literature search was performed across multiple databases up to June 2022.
- Data analysis was conducted using STATA 12.0 software.
Main Results:
- Migraine patients exhibited lower general cognitive function (SMD = -0.40) and language function (SMD = -0.14).
- No significant differences were observed in visuospatial function, attention, executive function, or memory.
- A significant association was found between migraine and an increased risk of dementia (OR/RR = 1.30).
Conclusions:
- Migraine is associated with diminished general cognitive and language abilities.
- Migraine is linked to a higher risk of all-cause dementia, vascular dementia (VaD), and Alzheimer's disease (AD).
- Neurologists should proactively manage migraineurs with cognitive impairment risk factors to prevent cognitive decline.
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