Medicus, Vol. 30 No. 1 Migrena, 2021.
Review article
Migraine and Stroke
Arijana Lovrenčić-Huzjan
Abstract
Migraine is a common primary headache. Migraine has been shown to be positively associated with vascular disease, particularly with ischemic stroke, hemorrhagic stroke, myocardial infarction, venous thromboembolism, and atrial fibrillation. The connection is stronger in migraines with aura than in migraines without aura, and also the connection is more pronounced in women than in men. Migraine with aura increases the risk of ischemic stroke and white matter abnormalities. Migraine without aura increases the risk of cervical artery dissection as a cause of ischemic stroke, and there is overlap with reversible cerebral vasoconstriction syndrome and fibromuscular dysplasia. Migraine is associated with specific risks of cerebrovascular events in smokers, women who use oral contraceptives, especially in younger adults. Migraine infarction is rare, but must be included in the differential diagnosis of ischemic stroke, especially in young women.
Keywords
migraine; vascular diseases; stroke; migrainous infarction; cerebrovascular events; cervical artery dissection; young adults
Hrčak ID:
257529
URI
Publication date:
17.5.2021.
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