Migraine and stroke: management
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Migraine and stroke: management. The index vein sign distinguishes migraine aura from stroke. Fully referenced neurology checklist.
Magnetic resonance imaging (MRI) brain
- The index vein sign distinguishes migraine aura from stroke
- The vein may also appear as marked hypointensity of the vein (cortical vein sign)
Prevention of stroke in migraine
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Indications for caution with betablockers
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Contraindications for Triptans
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References
- Bushnell CD. Migraine and risk of ischaemic stroke: an evidence-based medicine review. JCOM 2001; 8:33-39.
- Scutelnic A, Petroulia V, Schraml L, et al. The "index vein" as a sign for migraine aura in the emergency setting. Cephalalgia 2023; 43:3331024221132010.
- Slavova N, Denier N, El-Koussy M, et al. The index vein pointing to the origin of the migraine aura symptom: a case series. Neurology 2020; 94:e2577-e2580.
- Hirtz C, Adam G, Raposo N, et al. Diagnostic utility of T2*-weighted GRE in migraine with aura attack. The cortical veins sign. Cephalalgia 2022; 42:730-738.
- Spalice A, Del Balzo F, Papetti L, et al. Stroke and migraine is there a possible comorbidity? Ital J Pediatr 2016; 42:41.
