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

被引：3

作者：

Lukasik, Maria ^{[1
]}

Kozubski, Wojciech ^{[1
]}

机构：

[1] Uniwersytetu Med, Karola Marcinkowskiego Poznaniu, Katedra & Klin Neurol, PL-60355 Poznan, Poland

来源：

NEUROLOGIA I NEUROCHIRURGIA POLSKA | 2012年 / 46卷 / 02期

关键词：

patent foramen ovale; migraine with aura; stroke; TO-LEFT SHUNT; ISCHEMIC-STROKE; TRANSCRANIAL DOPPLER; RISK-FACTORS; PREVALENCE; HEADACHE; LESIONS; ABNORMALITIES; CLOSURE; WOMEN;

D O I：

10.5114/ninp.2012.28260

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

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.

引用

页码：169 / 175

页数：7

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