Presentation
[…] symptoms were not part of the crises previously presented. [ncbi.nlm.nih.gov]
Cardiovascular
- Vascular Disease
And we recently found that risk isn’t just increased for ischemic stroke, it’s for all vascular diseases. [americanheadachesociety.org]
So in the largest study of its kind, researchers in the United States set out to test the association between migraine and vascular diseases during pregnancy. [sciencedaily.com]
She was the previous co-chair of the Migraine and Vascular Disease special interest section at the American Headache Society (AHS) and on the AHS committee to develop “Guidelines for Vascular Issues and Headache.” [migrainedisorders.org]
Regardless of the origin, experts recommend managing traditional risk factors for vascular disease and stroke to prevent migraine-related stroke.5 That includes better management of lifestyle factors such as getting adequate exercise, not abusing alcohol [neurologytimes.com]
Eyes
- Scintillating Scotoma
Migraine aura can be what is called scintillating scotoma (the moving, shimmery flickering visual hallucination), or simply a blind spot (scotoma). The migraine scintillating scotoma is often depicted in migraine aura art. Thanks for reading! [relieve-migraine-headache.com]
The Varying Frequency of Migraines, and Health Risks I have had migraine equivalents (aura without headache) once or twice a year for the last 20 years: I get a scintillating scotoma that fades within half an hour. [consults.blogs.nytimes.com]
A fortification spectrum is common or a spreading, scintillating scotoma in the shape of a jagged crescent. Geometric visual patterns and even hallucinations may occur. This is fully reversible. An aura has no motor symptoms. [patient.info]
Two days after hospitalization, the patient experienced a prolonged episode of visual aura characterized by a “fortification spectrum” with a “zigzag-type” figure and scintillating scotoma. [dovepress.com]
- Prolapse
The incidences of major stroke risk factors and mitral valve prolapse were no higher for the study group than for the general population of similar age. [ncbi.nlm.nih.gov]
We found no significant differences in gender ratio or in the frequency of smoking, estrogen use, hypertension, mitral valve prolapse, or family history of migraine between the two groups. [neurology.org]
Increased prevalence of mitral valve prolapse in patients with migraine. Can J Neurol Sci 1984 ; 131 ( 12 ): 1457 – 1460. 113. Gilon, D, Buonanno, FS, Joffe, MM, et al. [cambridge.org]
- Strabismus
University of Toronto Faculty of Medicine; Consulting Staff, Toronto East General Hospital, Canada Edsel Ing, MD, FRCSC is a member of the following medical societies: American Academy of Ophthalmology, American Association for Pediatric Ophthalmology and Strabismus [medscape.com]
Psychiatrical
- Anger
Depression, anxiety, anger, tiredness, stress, etc. Many people with migraine cope well with stress but have attacks when they relax, leading to so-called weekend migraine. Medicines. [patient.info]
[…] of all stroke survivors and precludes a return to work (Stroke Association, 2017) Low mood, anxiety and depression – affect up to 50% of stroke survivors (Stroke Association, 2017) Emotional lability – overwhelming emotional responses such as crying, anger [nursingtimes.net]
- Delusion
[…] include speech or language disturbances, world spinning, and less commonly motor problems. [31] Motor symptoms indicate that this is a hemiplegic migraine, and weakness often lasts longer than one hour unlike other auras. [31] Auditory hallucinations or delusions [en.wikipedia.org]
Neurologic
- Stroke
Patients with a history of migraine-associated stroke are at significantly increased risk for recurrent stroke. [ncbi.nlm.nih.gov]
Considered a complication of migraine, these strokes are very rare, accounting for approximately 0.2 percent to 0.5 percent of all ischemic strokes, a type of stroke that occurs when you lose blood supply to your brain. [verywellhealth.com]
- Aura
Migraine, cerebral infarction of other cause presenting with symptoms resembling 1.2 Migraine with aura, or cerebral infarction occurring during the course of a typical attack of 1.2 Migraine with aura. [ichd-3.org]
Migrainous stroke is more common in individuals with aura than in those who are aura-free, but this association is of little value in attempting to distinguish patients destined for migrainous stroke from the migraine population at large. [ncbi.nlm.nih.gov]
The patient had suffered from regular typical migraine with visual auras since her childhood but she had not experienced other types of auras before. [jpgmonline.com]
Results: The majority of patients presented with prolonged aura symptoms (visual aura 82.3%, sensory dysfunction 41.2%, and aphasia 5.9%; median NIH Stroke Scale score 2). [n.neurology.org]
[…] between migraine aura and stroke by cortical spreading depolarization is suggested. [medlink.com]
- Dysphasia
"Migraine aura presenting as dysphasia with global cognitive dysfunction and abnormalities on perfusion CT". [en.wikipedia.org]
When she finally managed to get through, she noted she had expressive dysphasia. All symptoms improved after 2 hours and she developed a mild left-sided headache. [eso-stroke.org]
Migraine aura presenting as dysphasia with global cognitive dysfunction and abnormalities on perfusion CT. Cephalalgia 2010;30:1007-9. 6. Angermaier A, Langner S, Kirsch M, Khaw AV. [jpgmonline.com]
nausea, changes in appetite (intense hunger or sugar craving: may consume a whole packet of biscuits or chocolates), lack of appetite, constipation, diarrhoea neurological changes, drowsiness, incessant yawning, difficulty finding the right words (dysphasia [headacheaustralia.org.au]
- Homonymous Hemianopsia
Homonymous hemianopsia as the presenting sign of migrainous infarction. Can J Ophthalmol. 2018;53(6):e229–32. doi:10.1016/j.jcjo.2018.01.007 29. Khardenavis V, Karthik DK, Kulkarni S, et al. [dovepress.com]
- Dysphasia and Aphasia
Basilar symptoms may present with dysphasia or aphasia causing difficulty with speech. Pain may be ipsilateral or contralateral to symptoms and on rare occasions there is a loss of consciousness. [physio-pedia.com]
Workup
All had undergone a dedicated stroke workup including diffusion-weighted imaging (DWI) and a detailed assessment of clinical features and of vascular risk factors. [n.neurology.org]
However, in most patients with stroke of unknown origin, a typical diagnostic workup will unveil most of these conditions. [ahajournals.org]
"This does not mean if you have a migraine you should run into the ER for a heart attack workup or a stroke workup," Lyden tells WebMD. It does mean those with migraine should be aware of the potential increased risk, he says. [medicinenet.com]
You'll have the same diagnostic workup and treatment as anyone of your age with ischemic stroke would. [verywell.com]
Serum
- Hypercholesterolemia
The results were adjusted for well-known risk factors for stroke, including age, hypertension, hypercholesterolemia, diabetes, and smoking. Dr Rahman said physicians and patients need to "sit down and discuss the risks and benefits" of HRT. [medscape.com]
In migraine patients, especially those with MA, pharmacists should place emphasis on identification and treatment of modifiable vascular risk factors, such as smoking, hypertension, diabetes, and hypercholesterolemia. [uspharmacist.com]
To date, available data support the following recommendations: Emphasis on identification and treatment of modifiable vascular risk factors, such as smoking, hypertension, diabetes, and hypercholesterolemia, is warranted in migraineurs, especially those [ijponline.biomedcentral.com]
Several reports suggest that the prevalence and the number of WMLs on brain MRI scan increase with advancing age, vascular risk factors (diabetes, smoking, hypercholesterolemia, hypertension), cardiovascular disease, stroke, and dementia (de Groot et [journals.sagepub.com]
Treatment
The first chapter stresses the etiology and pathophysiology of childhood stroke as the basis for evaluations and treatment. [books.google.com]
Additional treatments of acute ischemic strokes vary according to the underlying cause. [cedars-sinai.edu]
You'll have the same diagnostic workup and treatment as anyone of your age with ischemic stroke would. [verywellhealth.com]
We report a case of migraine-associated ischemic stroke causing amnesia, wherein treatment with propranolol may have been contributory. [ncbi.nlm.nih.gov]
The sooner these treatments are administered, the more effective they are. × Treatment There is no absolute cure for migraine since its pathophysiology has yet to be fully understood. [ninds.nih.gov]
Prognosis
December 01, 1993 ; 43 (12) Articles Risk factors and prognosis J. Rothrock, J. North, K. Madden, P. Lyden, P. Fleck, H. [neurology.org]
Prognosis Responsive prevention and treatment of migraine is incredibly important. [ninds.nih.gov]
The functional prognosis of migrainous stroke is good, with minimal risk of relapse Keywords Migraine Pregnancy Stroke Classified in Cefalea y Migraña - Dolor - Patología vascular You may be interested [neurologia.com]
The headaches are usually recurrent, and although RCVS can result in strokes or hemorrhage, most cases have a good prognosis. The classic diagnosis to think of with thunderclap headaches is a subarachnoid hemorrhage. [headachejournal.org]
Includes an overview of stroke types, risk factors, prognosis, and diagnostic strategies in neonates, children, and young adults to help you better manage every condition you see. [elsevier.com]
Etiology
The first chapter stresses the etiology and pathophysiology of childhood stroke as the basis for evaluations and treatment. [books.google.com]
The etiology of central nervous system (CNS) ischemia is considerable. Migraine, although rare, also may be included in this vast etiological range, which is called migrainous infarction. [ncbi.nlm.nih.gov]
Epidemiology
Considering geographical differences in reported epidemiology and improving patients care, the aim of the present study was to evaluate epidemiologic, demographic and clinical characteristics in patients with migraine headache in Arak. [semanticscholar.org]
Abstract We compared epidemiologic and clinical data from 310 patients with migraine and 30 patients with acute migrainous stroke to identify factors predictive of migrainous stroke and assess the risk of future stroke in these two populations. [ncbi.nlm.nih.gov]
In spite of the strong epidemiologic evidence linking migraine and ischemic stroke in young adults, the mechanisms explaining this association remain poorly understood. [hindawi.com]
Dittrich First published December 1, 1993, DOI: https://doi.org/10.1212/WNL.43.12.2473 Abstract We compared epidemiologic and clinical data from 310 patients with migraine and 30 patients with acute migrainous stroke to identify factors predictive of [neurology.org]
Migraine in Women provides discussions on epidemiology, pathogenesis, options for preventative therapy, and headache management strategies. [books.google.ro]
Pathophysiology
Newsroom – Published on: November 29, 2019 A recent case study of a patient with a history of migraine with visual aura revealed a pathophysiological link between stroke and migraine, demonstrating the need for additional research that links migrainous [ajmc.com]
Gain fresh perspectives and up-to-date insights from the world’s leading authorities on the pathophysiology, diagnosis, and management of stroke. [books.google.com]
Migraine: Manifestations, Pathophysiology, and Management, Second Edition, is a much expanded, updated monograph that focuses in detail on migraine's diverse variations, its pathophysiology, and its treatment. [books.google.ro]
Prevention
The goals of treatment are to prevent life-threatening complications that may occur soon after stroke symptoms develop, prevent future strokes, reduce disability, prevent long-term complications and help the patient get back as much normal functioning [cedars-sinai.edu]
Prevention It's important to take preventative measures and make any necessary lifestyle changes that can help lower your chance of having migrainous infarction. [verywellhealth.com]
Prognosis Responsive prevention and treatment of migraine is incredibly important. [ninds.nih.gov]
Headache Consortium migraine guidelines, the section on preventive therapy was developed after analysis of data from hundreds of clinical trials on the prevention of migraine. [aafp.org]