Migraine Stroke: A Possible Complication of Both Migraine With and Without Aura

Narbone, M. C.; Leggiadro, N; Spina, Paolo; Rao, Renata; Grugno, Rosario; Musolino, Rossella

doi:10.1046/j.1526-4610.1996.3608481.x

Cited by 21 publications

(10 citation statements)

References 9 publications

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“…The prevalence of mi-Sochurkova/Moreau/Lemesle/Menassa/ Giroud/Dumas graine-induced stroke varies from 10% [3][4][5] to more than 13% [6][7][8][9]. This wide variation is due to the lack of well-defined diagnostic criteria.…”

Section: Introductionmentioning

confidence: 99%

Migraine History and Migraine-Induced Stroke in the Dijon Stroke Registry

et al. 1999

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Two thousand three hundred and eighty-nine patients with first-ever stroke were registered in the population-based Dijon Stroke Registry over an 11-year period. There was a history of migraine in 49 cases (2%), with a majority of women (2.8% versus 1.1% men) with the following distribution: 27 cases among 1,380 large-artery cerebral infarctions (1.9%), 6 cases among 358 small-artery cerebral infarctions (1.6%), 6 cases among 412 cerebral infarctions due to cardiac embolism (1.4%), 7 cases among 191 cerebral hemorrhages (3.6%) and 3 cases among 47 subarachnoid hemorrhages (6.3%). The male/female ratio was 0.58 for the 49 strokes with a history of migraine versus 1.27 for the 2,340 strokes with no history of migraine. Twelve migraine-induced ischemic strokes occurred with an infarction of the posterior area of the brain in young patients. The annual incidence was 0.80/100,000/year (confidence interval, CI = 0.37–1.57) with a predominance of women (1.02/100,000/year, CI = 0.52–1.25; men: 0.57/100,000/year; CI = 0.28–1.04). We conclude that a history of migraine is more frequent in women, in particular in those with hemorrhagic strokes, and that the incidence of migraine-induced stroke in our population-based study is higher in women, although it remains low.

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Section: Introductionmentioning

confidence: 99%

Migraine History and Migraine-Induced Stroke in the Dijon Stroke Registry

et al. 1999

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“…Stroke and TIA are rare complications of migraine with aura, and they have also been described in patients with migraine without aura [17]. Migraine can induce ischemic stroke, and it is considered as an independent risk factor for stroke in the young [18].…”

Section: Discussionmentioning

confidence: 99%

Is it too early to recommend patent foramen ovale closure for all patients who suffer from migraine? A single-centre study

Chessa

Colombo

Butera

et al. 2009

Journal of Cardiovascular Medicine

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“…However, the information available so far is very limited and inconclusive. [11][12][13][14] The patient discussed here provides the first documented case of spinal cord infarction during the use of zolmitriptan and for that matter of any triptan that is available on the market. There were no known risk factors for vascular disease.…”

Section: Commentsmentioning

confidence: 97%

Spinal Cord Infarction During Use of Zolmitriptan: A Case Report

Vijayan

Peacock

2000

Headache

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A 50-year-old woman with a history of migraine without aura, predominantly occurring around her menstrual periods, developed a spinal cord lesion following the use of zolmitriptan. The partial lesion of the cord at T7 predominantly involved the spinothalamic pathways on the left side. Clinical features suggested that the lesion was an ischemic infarct, and this was confirmed by an MRI scan. There were no other known risk factors for vascular disease. There has been mild improvement of her symptoms, but most of the symptoms did not resolve. There are isolated case reports of stroke secondary to the use of triptans, however, this is the first case of spinal cord infarction reported following the use of this group of drugs. The temporal relationship suggests that the spinal cord infarction may be related to the use of zolmitriptan.

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Migraine Stroke: A Possible Complication of Both Migraine With and Without Aura

Abstract: We describe four migraine patients who developed an ischemic stroke during their typical migraine attacks. Cerebral infarction as a possible complication of migraine without aura is discussed. We propose a review of the migraine stroke definition of the International Headache Society.

Cited by 21 publications

References 9 publications

Migraine History and Migraine-Induced Stroke in the Dijon Stroke Registry

Migraine History and Migraine-Induced Stroke in the Dijon Stroke Registry

Is it too early to recommend patent foramen ovale closure for all patients who suffer from migraine? A single-centre study

Spinal Cord Infarction During Use of Zolmitriptan: A Case Report

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