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Clinical characteristics and perfusion-computed tomography alterations in a series of patients with migraine with aura attended as stroke code
CONCLUSION: This is, to the best of our knowledge, the largest series of patients with MA managed as presumed stroke with clinical characteristics and PCT. In our study, most patients were young and had a prior history of migraine. PCT was normal in 88% of cases, with patients being still symptomatic by the time they were scanned. Further research will clarify the presence and type of PCT alterations in this entity.PMID:34862603 | DOI:10.1111/head.14243
Source: Headache - December 4, 2021 Category: Neurology Authors: Alicia Gonzalez-Martinez Santiago Trillo Sen ín Carmen Benavides Bernaldo de Queir ós Laura Casado Fern ández Antonio Barbosa Del Olmo Rafael Manzanares L ópez Ana Beatriz Gago-Veiga Jos é Vivancos Source Type: research

Symptomatic visual snow in acute ischemic stroke: A case series
We present a case series of patients with visual snow in the setting of acute ischemic stroke. The first and second patient reported previous episodic visual snow with migraine attacks. The third patient experienced visual snow for the first time during the ischemic stroke. In the first patient, the ischemic stroke affected the right and left precuneus and the right lingual gyrus. In the second patient, the ischemic stroke was located in the left lingual gyrus, parts of the left fusiform and parahippocampal gyrus, left dorso-lateral thalamus, and left cerebellar hemisphere. In the third patient, occipital pole, trunk of th...
Source: Headache - January 18, 2023 Category: Neurology Authors: Adrian Scutelnic Nedelina Slavova Antonia Klein Thomas Horvath Sophie A L de Beukelaer Marcel Arnold Simon Jung Christoph J Schankin Source Type: research

Headache in Stroke: A Review.
Abstract Headache is a common accompanying symptom in cerebrovascular diseases. Several specific conditions and etiologies are reviewed with emphasis on distinguishing characteristics. Recognition of these conditions can help identify underlying causes of these "secondary headache syndromes" and facilitate disease-appropriate treatment. PMID: 23594141 [PubMed - as supplied by publisher]
Source: Headache - April 17, 2013 Category: Neurology Authors: Goddeau RP, Alhazzani A Tags: Headache Source Type: research

Spreading Depolarization May Link Migraine, Stroke, and Other Cardiovascular Disease.
PMID: 25163584 [PubMed - as supplied by publisher]
Source: Headache - August 28, 2014 Category: Neurology Authors: Ripa P, Ornello R, Pistoia F, Carolei A, Sacco S Tags: Headache Source Type: research

Stroke-Like Migraine Attacks After Radiation Therapy (SMART) Syndrome: A Rare, Reversible Complication of Radiation Therapy.
PMID: 32202326 [PubMed - as supplied by publisher]
Source: Headache - March 22, 2020 Category: Neurology Authors: Makar GS, Siegal T, Syrow L Tags: Headache Source Type: research

Hypercoagulability and Migraine.
Abstract BACKGROUND: A growing body of literature suggests that migraineurs, particularly those with aura, have an increased risk for ischemic stroke, but not via enhanced atherosclerosis. The theory that micro-emboli induced ischemia provokes cortical spreading depression (ie, symptomatic aura) in migraineurs but transient ischemic attacks in others highlights a potential role for hypercoagulability as a link between migraine (with aura) and stroke. AIM: Our objective is to summarize the literature evaluating the association of migraine with various acquired or inheritable thrombophilic states, including tho...
Source: Headache - February 8, 2017 Category: Neurology Authors: Tietjen GE, Collins SA Tags: Headache Source Type: research

Migraine and cerebrovascular diseases: Epidemiology, pathophysiological, and clinical considerations.
In conclusion, migraine is a potential risk factor for cerebrovascular diseases. Migraineurs should be carefully evaluated considering their vascular risk assessment based on current evidence, so that healthcare professionals can provide appropriate and individualized management of other cardiovascular risk factors, notably quitting smoking and restricting use of oral contraceptives. PMID: 30117565 [PubMed - as supplied by publisher]
Source: Headache - August 17, 2018 Category: Neurology Authors: Magalhães JE, Sampaio Rocha-Filho PA Tags: Headache Source Type: research

Reversible Cerebral Vasoconstriction Syndrome Without Typical Thunderclap Headache.
Abstract Reversible cerebral vasoconstriction syndrome (RCVS) is characterized by severe headache and diffuse segmental intracranial arterial constriction that resolve within three months. Stroke, which is the major complication of RCVS, can result in persistent neurological disability, and rarely causes death. Diagnosis of RCVS early in the clinical course might improve outcomes. Although recurrent thunderclap headache is the clinical hallmark of RCVS, the absence of such a pattern should not lead to discard the diagnosis. Our literature review shows that RCVS can also manifest as an unspecific headache, such as ...
Source: Headache - March 25, 2016 Category: Neurology Authors: Wolff V, Ducros A Tags: Headache Source Type: research

Endothelial Function in Migraine With Aura - A Systematic Review.
CONCLUSION: Endothelial dysfunction appears not to be of importance in MA patients. However, the studies were few with a wide variety of techniques applied in small groups of patients. Endothelial biomarkers were increased in patients indicating a possible subtle change in the endothelium. Further investigations on larger groups of patients combining testing of endothelial dysfunction as well as biomarkers are warranted to identify whether or not endothelial changes may play a role in the increased risk of stroke in young MA patients. PMID: 25546573 [PubMed - as supplied by publisher]
Source: Headache - December 24, 2014 Category: Neurology Authors: Butt JH, Franzmann U, Kruuse C Tags: Headache Source Type: research

The Course of Headache in Patients With Moderate-to-Severe Headache Due to Aneurysmal Subarachnoid Hemorrhage: A Retrospective Cross-Sectional Study.
CONCLUSIONS: The course of headache in patients with aSAH continuously improved during the 12 months of follow-up. Headache improvement might be expected in patients who were treated with EVT and in those who did not have previous stroke or headache. PMID: 26129830 [PubMed - as supplied by publisher]
Source: Headache - June 30, 2015 Category: Neurology Authors: Hong CK, Joo JY, Kim YB, Shim YS, Lim YC, Shin YS, Chung J Tags: Headache Source Type: research

The Typical Thunderclap Headache of Reversible Cerebral Vasoconstriction Syndrome and its Various Triggers.
Abstract During the last 10 years, reversible cerebral vasoconstriction syndrome (RCVS) has emerged as the most frequent cause of thunderclap headache (TCH) in patients without aneurysmal subarachnoid hemorrhage, and as the most frequent cause of recurrent TCHs. The typical TCHs of RCVS are multiple, recurring over a few days to weeks, excruciating, short-lived, and brought up by exertion, sexual activities, emotion, Valsalva maneuvers, or bathing, among other triggers. All these triggers induce sympathetic activation. In a minority of cases with RCVS, TCH heralds stroke and rarely death. Early diagnosis of RCVS i...
Source: Headache - March 25, 2016 Category: Neurology Authors: Ducros A, Wolff V Tags: Headache Source Type: research

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