Migraine and stroke: criteria and risks

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Migraine and stroke: criteria and risks. The stroke occurs during a typical migraine attack. Fully referenced neurology checklist.

Diagnostic criteria for migraine-induced stroke

  • The stroke occurs during a typical migraine attack
  • The stroke is in the same territory affected by previous migraine with aura
  • The stroke is documented by imaging
  • All other causes of stroke have been excluded

Types of migraine-related stroke

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Pathophysiological risk factors of stroke in migraine

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Patient risk factors for stroke in migraine

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Shared genetic risks of stroke in migraine

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Medical risk factors for stroke in migraine

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Pregnancy-related stroke risks of migraine

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Acronym

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References

  1. Hu X, Zhou Y, Zhao H, Peng C. Migraine and the risk of stroke: an updated meta-analysis of prospective cohort studies. Neurol Sci 2017; 38:33-40.
  2. Weinberger J. Stroke and migraine. Curr Cardiol Rep 2007; 9:13-19.
  3. Øie LR, Kurth T, Gulati S, Dodick DW. Migraine and risk of stroke. JNNP 2020; 91:593-604.
  4. Wood H. Migraine: migraine is associated with increased risk of perioperative ischaemic stroke. Nat Rev Neurol 2017; 13:67.
  5. Li L, Schulz UG, Kuker W, Rothwell PM; Oxford Vascular Study. Age-specific association of migraine with cryptogenic TIA and stroke: population-based study. Neurology 2015; 85:1444-1451.
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