[Cerebrovascular accidents and migraine]

Twenty-three clinical cases are reported, illustrating the difficulties of diagnosing migrainous focal cerebrovascular accidents. Cases of constituted cerebral infarcts and transient cerebral ischemia occurring during the cephalalgic phase, without headache and in patients with no previous history of typical migrainous attacks are described. Migraine may be considered to be the cause on convincing clinical criteria, but the diagnosis can only be established after negative results of investigations to exclude other causes of focal cerebral ischemia.