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Stroke in patients with migraine

Jacques De Reuck UGent, Koen Paemeleire UGent and GEORGES VAN MAELE UGent (2010) NEUROLOGIA I NEUROCHIRURGIA POLSKA. 44(2). p.118-122
abstract
Background and purpose: Migraine with aura (MA) is considered as a risk factor for ischaemic stroke. The present observational retrospective study compares migraine patients admitted for a documented stroke with those presenting focal neurological symptoms and headache without a demonstrable lesion and in which the final diagnosis was a migraine attack with aura. Material and methods: The study included 14 migraine patients with a stroke and 37 without a stroke. The clinical characteristics, the vascular risk factors and the results of the technical examinations were compared. Results: Stroke occurred in migraine patients with aura as well as without aura. Classical vascular risk factors were rather rare. Patent foramen ovale (PFO) with or without atrial septum aneurysm appeared to be the main risk factor for stroke in patients with a history of migraine. Infarcts were mainly located in the supratentorial territory of the posterior cerebral circulation. Also some lobar haematomas were observed, but their aetiology remained uncertain. The strokes were generally mildly severe with good outcome. Hyperintense signals in the cerebral white matter and cerebellum, on T-2-weighted magnetic resonance imaging, were more frequent in the migraine patients with stroke. Conclusions: The presence of PFO, rather than of MA, appeared to be the main risk factor for stroke patients with migraine. No direct relation between migraine and stroke could be demonstrated.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
migraine with aura, migraine without aura, posterior circulation infarct, lobar haematoma, patent foramen ovale, cerebral white matter changes, PATENT FORAMEN OVALE, ISCHEMIC-STROKE, RISK, AURA, HEADACHE, BRAIN, INFARCTION, BURDEN, SCALE
journal title
NEUROLOGIA I NEUROCHIRURGIA POLSKA
Neurol. Neurochir. Pol.
volume
44
issue
2
pages
118 - 122
Web of Science type
Article
Web of Science id
000280530200002
JCR category
CLINICAL NEUROLOGY
JCR impact factor
0.451 (2010)
JCR rank
170/185 (2010)
JCR quartile
4 (2010)
ISSN
0028-3843
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
955886
handle
http://hdl.handle.net/1854/LU-955886
date created
2010-05-27 12:00:11
date last changed
2015-06-17 11:26:03
@article{955886,
  abstract     = {Background and purpose: Migraine with aura (MA) is considered as a risk factor for ischaemic stroke. The present observational retrospective study compares migraine patients admitted for a documented stroke with those presenting focal neurological symptoms and headache without a demonstrable lesion and in which the final diagnosis was a migraine attack with aura.
Material and methods: The study included 14 migraine patients with a stroke and 37 without a stroke. The clinical characteristics, the vascular risk factors and the results of the technical examinations were compared.
Results: Stroke occurred in migraine patients with aura as well as without aura. Classical vascular risk factors were rather rare. Patent foramen ovale (PFO) with or without atrial septum aneurysm appeared to be the main risk factor for stroke in patients with a history of migraine. Infarcts were mainly located in the supratentorial territory of the posterior cerebral circulation. Also some lobar haematomas were observed, but their aetiology remained uncertain. The strokes were generally mildly severe with good outcome. Hyperintense signals in the cerebral white matter and cerebellum, on T-2-weighted magnetic resonance imaging, were more frequent in the migraine patients with stroke.
Conclusions: The presence of PFO, rather than of MA, appeared to be the main risk factor for stroke patients with migraine. No direct relation between migraine and stroke could be demonstrated.},
  author       = {De Reuck, Jacques and Paemeleire, Koen and VAN MAELE, GEORGES},
  issn         = {0028-3843},
  journal      = {NEUROLOGIA I NEUROCHIRURGIA POLSKA},
  keyword      = {migraine with aura,migraine without aura,posterior circulation infarct,lobar haematoma,patent foramen ovale,cerebral white matter changes,PATENT FORAMEN OVALE,ISCHEMIC-STROKE,RISK,AURA,HEADACHE,BRAIN,INFARCTION,BURDEN,SCALE},
  language     = {eng},
  number       = {2},
  pages        = {118--122},
  title        = {Stroke in patients with migraine},
  volume       = {44},
  year         = {2010},
}

Chicago
De Reuck, Jacques, Koen Paemeleire, and Georges Van Maele. 2010. “Stroke in Patients with Migraine.” Neurologia I Neurochirurgia Polska 44 (2): 118–122.
APA
De Reuck, J., Paemeleire, K., & Van Maele, G. (2010). Stroke in patients with migraine. NEUROLOGIA I NEUROCHIRURGIA POLSKA, 44(2), 118–122.
Vancouver
1.
De Reuck J, Paemeleire K, Van Maele G. Stroke in patients with migraine. NEUROLOGIA I NEUROCHIRURGIA POLSKA. 2010;44(2):118–22.
MLA
De Reuck, Jacques, Koen Paemeleire, and Georges Van Maele. “Stroke in Patients with Migraine.” NEUROLOGIA I NEUROCHIRURGIA POLSKA 44.2 (2010): 118–122. Print.