Migraine prevalence in patients with atrial septal defect

Kato, Yukio; Hayashi, Takeshi; Kobayashi, Toshiki; Tanahashi, Norio

doi:10.1186/1129-2377-14-63

Cited by 12 publications

(15 citation statements)

References 16 publications

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“…5 However, there is currently insufficient clinical evidence to make specific treatment recommendations for both acute and preventive treatment, as emphasized by Evans and colleagues. 13 Various mechanisms have been proposed to explain the increased incidence of migraine in patients with right-to-left shunts, including cerebral exposure to certain venous factors because of loss of pulmonary clearance, cerebral microemboli, and vasoactive chemicals such as serotonin. TSC results in an iatrogenic atrial septum defect and can cause a transient right-to-left shunt.…”

Section: Discussionmentioning

confidence: 99%

“…reported. 13 Various mechanisms have been proposed to explain the increased incidence of migraine in patients with right-to-left shunts, including cerebral exposure to certain venous factors because of loss of pulmonary clearance, cerebral microemboli, and vasoactive chemicals such as serotonin. A potential mechanism for microemboli to trigger migraine attacks was observed in a mouse model, where cortical spreading depression was linked to microemboli that often did not cause infarction.…”

Section: Lacunar Lesions On Diffusion-weighted Imaging (And Corresponmentioning

confidence: 99%

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Case Report: New‐Onset Retinal Migraine After Transseptal Catheterization

Richmond

Schneider²,

Steffel

et al. 2019

Headache

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Background.-While new-onset migraine headaches and binocular visual aura have been reported after transseptal catheterization (TSC), this case suggests that retinal aura may emerge also after this procedure.Case Description.-This 38-year-old male with paroxysmal atrial fibrillation had received TSC and cryoablation, and subsequently developed isolated monocular aura phenomena. The first episode happened a few hours after the intervention and was not accompanied by headache or other aura phenomena. The patient's history was negative for migraine. Brain magnetic resonance imaging demonstrated 2 lacunar diffusion restrictions in the left medial cerebral artery territory that were most likely catheterization related. Over the next 14 days, 3 additional, stereotyped episodes (duration = 20-30 minutes) with zigzag lines and flickering small bright dots in the central visual field of one eye (moving laterally) occurred. A central scotoma was noted during one episode.Conclusions.-This is the first case with retinal aura phenomena meeting International Classification of Headache Disorders diagnostic criteria for retinal migraine, suggesting that this rare migraine variant can be triggered by TSC.

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Section: Discussionmentioning

confidence: 99%

Section: Lacunar Lesions On Diffusion-weighted Imaging (And Corresponmentioning

confidence: 99%

Case Report: New‐Onset Retinal Migraine After Transseptal Catheterization

Richmond

Schneider²,

Steffel

et al. 2019

Headache

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“…In support of a potential link between PFO and migraine being a result of right‐to‐left shunt, there is some evidence that other causes of right‐to‐left shunt, such as Eustachian valves, atrial septal defects and pulmonary arterial venous malformations, are also associated with migraine . However, the possible associations between cardiac structural diseases without right‐to‐left shunting (e.g.…”

Section: Migraine and Patent Foramen Ovalementioning

confidence: 99%

“…9,10 In support of a potential link between PFO and migraine being a result of right-to-left shunt, there is some evidence that other causes of right-to-left shunt, such as Eustachian valves, atrial septal defects and pulmonary arterial venous malformations, are also associated with migraine. [11][12][13][14][15] However, the possible associations between cardiac structural diseases without right-to-left shunting (e.g. atrial septal aneurysm, mitral valve prolapse and congenital heart disease) and migraine call into question a direct causal relationship between right-to-left shunt and migraine.…”

Section: Migraine and Patent Foramen Ovalementioning

confidence: 99%

Migraine comorbidity with cardiac, cardiovascular and cerebrovascular disease

Kato

Dodick

Schwedt

2016

Neurology & Clinical Neurosc

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Migraine has complex relationships with disorders of the heart, the cardiovasculature and the cerebrovasculature. The purpose of this review was to summarize data regarding the relationship of migraine with structural cardiac disease, cardiovascular disease and stroke. There are low-quality and/or conflicting data regarding a possible association between migraine with patent foramen ovale and other sources of rightto-left shunt. If these associations exist, migraine with aura, in contrast to migraine without aura, would likely account for the comorbidity. Although low-quality evidence suggested that patent foramen ovale closure results in improved migraine patterns, higher-quality evidence from prospective clinical trials of patent foramen ovale closure failed to achieve their primary end-points. There are conflicting data regarding an increased risk of cardiovascular disease in people with migraine. Overall, data suggest that migraine with aura is probably associated with an increased risk for cardiovascular disease. Consistently, studies have shown migraine with aura to be associated with an increased risk for ischemic stroke. The explanation for the comorbidity between migraine with aura and cardiovascular and cerebrovascular diseases has yet to be adequately defined. Potential causal relationships and shared underlying risk factors are discussed. Migraine with aura is associated with an increased risk for ischemic stroke. Migraine with aura might be associated with an increased risk for cardiovascular disease and an increased likelihood for structural cardiac disease, such as patent foramen ovale. Further investigations will define the existence and nature of the relationship between migraine with aura and these disorders.

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“…(13) (14) Patients with ASD had a 1.8-to 3.6-fold higher prevalence of migraine (24.2%; 95% CI, 16.7 -33.7%) than the 9.4% found in the Japanese general population after adjusting for sex and age. (15) The underlying mechanism of the possible relationship between PFO and migraine remains speculative. It has been postulated that PFO may allow venous-circulating, migraine-triggering, vasoactive chemicals to bypass the pulmonary filter and reach the cerebral circulation to induce a migraine attack.…”

mentioning

confidence: 99%

Role of Transcranial Doppler in Detecting Right to Left Circulatory Shunts in Migraine Headache Patients.

ORabie¹,

HRashed²,

ABasiouny³

et al. 2018

IJAR

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Background: Migraine is a common disabling primary headache with an estimated prevalence of 13% of the general population. Right to left circulatory shunts, mostly patent foramen ovale, and migraine especially migraine with aura do exist. There is a debate whether this is a mere coincidence or a causal relationship. Objective: We aimed to evaluate the relationship between right to left circulatory shunt and migraine using transcranial doppler. Methods: Using ultrasound studies (transthoracic echocardiography, transesophageal echocardiography, and transcranial color-coded duplex of middle cerebral artery) for detection of circulatory shunts in migraine patients either migraine with or without aura. Results: there is statistically significant presence of right to left circulatory shunts in the group of migraine with aura, in which 46.7% of the group showed latent shunts and were detected by transcranial doppler (p value = 0.006). While only 13.3% of the common migraine group had right to left circulatory shunt (p value =0.54). Conclusion: Right to left circulatory shunts detected by TCD is a significant finding in migraine with aura. They are mostly latent shunts that are not present under basal conditions. They don't cause hemodynamic abnormality in resting conditions. TCD is a good ultrasound diagnostic tool for detecting right to left circulatory shunts.

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Migraine prevalence in patients with atrial septal defect

Cited by 12 publications

References 16 publications

Case Report: New‐Onset Retinal Migraine After Transseptal Catheterization

Case Report: New‐Onset Retinal Migraine After Transseptal Catheterization

Migraine comorbidity with cardiac, cardiovascular and cerebrovascular disease

Role of Transcranial Doppler in Detecting Right to Left Circulatory Shunts in Migraine Headache Patients.

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