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Migraine‐related ischemic stroke?
Author(s) -
Lantz M.,
Kostulas K.,
Sjöstrand C.
Publication year - 2013
Publication title -
acta neurologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.967
H-Index - 95
eISSN - 1600-0404
pISSN - 0001-6314
DOI - 10.1111/ane.12069
Subject(s) - migraine , patent foramen ovale , medicine , stroke (engine) , migraine with aura , cardiology , aura , ischemic stroke , infarction , incidence (geometry) , cerebral infarction , pediatrics , myocardial infarction , ischemia , physics , optics , engineering , mechanical engineering
Migraine, especially migraine with aura, has been described to be associated with an increased risk for ischemic stroke. An increased incidence of silent lesions in the posterior circulation has also been described. Method Six cases with migraine and stroke in close relation over time were retrospectively reviewed. Results All patients had previously known MA or MO and suffered from a stroke within the first 24‐hour period after an acute migraine attack. None of the patients fulfilled the IHS criteria for migrainous infarction. Four out of these six patients had a patent foramen ovale (PFO) or an atrial septal defect (ASD). Discussion None of these cases can be categorized as migrainous infarctions according to IHS. However, the migraine attack might have been involved in the mechanisms for the development of the infarctions.