Migraine and Stroke
Keywords:
migraine, stroke, migraine without aura, migraine with aura, ischemic stroke, hemorrhagic strokeAbstract
Migraine and stroke may be related. From epidemiological data, patients who had migraine with aura had 2-fold increased risk of ischemic stroke and 1.5 fold increased risk of hemorrhagic stroke. Several hypotheses explained the association between both conditions including polymorphism of many genes, thrombophilia factors, abnormal vascular reactivity, cortical spreading depression and increased risk factors for cardiovascular diseases. Patient with migraine with aura were associated with increased deep white matter hyperintensities and usually had multiple lesions. Differential diagnosis between aura of migraine and transient ischemic attack is difficult in some patients. If the diagnosis is uncertain, physical examination and further investigations are recommended. Aspirin is indicated when thrombosis is found. Management of ischemic stroke patients who also had migraine is the same as other ischemic stroke patients. Migraine without aura patients were not associated with increased risk of stroke or slightly increased, so there is no specific treatment other than acute and preventive treatment for migraine when there is indication. For migraine with aura patients, search for modified cardiovascular risk factors and manage those risks.
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2019-08-24
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ดุสิตานนท์ เ. Migraine and Stroke. J Thai Stroke Soc [Internet]. 2019 Aug. 24 [cited 2024 Nov. 13];15(2):82-104. Available from: https://he01.tci-thaijo.org/index.php/jtss/article/view/172123
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ข้อความภายในบทความที่ตีพิมพ์ในวารสารสมาคมโรคหลอดเลือดสมองไทยเล่มนี้ ตลอดจนความรับผิดชอบด้านเนื้อหาและการตรวจร่างบทความเป็นของผู้นิพนธ์ ไม่เกี่ยวข้องกับกองบรรณาธิการแต่อย่างใด การนำเนื้อหา ข้อความหรือข้อคิดเห็นของบทความไปเผยแพร่ ต้องได้รับอนุญาตจากกองบรรณาธิการอย่างเป็นลายลักษณ์อักษร ผลงานที่ได้รับการตีพิมพ์ในวารสารเล่มนี้ถือเป็นลิขสิทธิ์ของวารสาร
