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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
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Migraine and stroke: correlation, coexistence, dependence - a modern perspective.
Michał Borończyk1,2, Anna Zduńska3, Julia Węgrzynek-Gallina4
1Department of Neurology, Faculty of Health Sciences in Katowice, Medical University of Silesia in Katowice, Ziołowa 45/47, Katowice, 40-635, Poland. mboronczyk@onet.pl.
The Journal of Headache and Pain
|February 20, 2025
Summary
Migraine and stroke share complex links, including common biological pathways and risk factors. Further research is needed to fully understand how migraine influences stroke outcomes and vice versa.
Area of Science:
- Neurology
- Vascular Medicine
Background:
- Migraine, particularly migraine with aura (MA), is linked to stroke.
- Migraine is an independent risk factor for stroke, especially with co-existing factors like smoking or hypertension.
Purpose of the Study:
- To review and summarize the existing literature on the relationship between migraine and stroke.
Main Methods:
- Review of shared pathophysiological processes like cortical spreading depression, endothelial dysfunction, and vasculopathy.
- Examination of genetic links, microRNA involvement, and associated conditions such as patent foramen ovale (PFO).
- Analysis of migraine's impact on stroke outcomes and its role as a stroke mimic or chameleon.
Main Results:
- Shared mechanisms include cortical spreading depression, endothelial dysfunction, and vasculopathy.
- Conditions like PFO, atrial fibrillation, and genetic factors are linked to both migraine and stroke.
- Migraine is associated with worse outcomes after ischemic stroke, and can be misdiagnosed as or mimic stroke.
Conclusions:
- The migraine-stroke relationship is complex, involving shared pathophysiology and risk factors.
- Migraine can be a cause and risk factor for stroke, but precise mechanisms require further investigation.
- Clarifying the connection is crucial for improving clinical management of both conditions.
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