PMID: 22581599May 15, 2012Paper

Cryptogenic stroke - patent foramen ovale - migraine with aura: incidental triad or significant relationship? Part II

Neurologia i neurochirurgia polska
Maria Łukasik, Wojciech Kozubski

Abstract

In the second part of the paper, we discuss the relationship between migraine with aura and either patent foramen ovale (PFO) or stroke. The results of the studies suggest that PFO with right-to-left shunt is more prevalent among patients suffering from migraine with aura. Moreover, migraine with aura is a risk factor for ischaemic stroke in women and the risk increases when they have additional vascular risk factors such as taking oral contraception and smoking. However, the pathophysiology of these phenomena remains hypothetical. The most frequently reported theory suggests paradoxical embolism as a mechanism of the above-mentioned pathologies. In this paper we compare the pros and cons of the general theories. We discuss the percutaneous closure of PFO in patients with migraine, regarding the benefit/risk ratio.

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Citations

May 14, 2014·Neurologia i neurochirurgia polska·Aldona Warsz-WianeckaZofia Kazibutowska
Jan 1, 2014·Neurologia i neurochirurgia polska·K ChorążkaI Domitrz

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