Migraine history and migraine-induced stroke in the Dijon Stroke Registry

被引:44
作者
Sochurkova, D [1 ]
Moreau, T [1 ]
Lemesle, M [1 ]
Menassa, M [1 ]
Giroud, M [1 ]
Dumas, R [1 ]
机构
[1] Univ Burgundy, Dijon Univ Hosp, Dijon Stroke Registry, Neurol Unit, F-21000 Dijon, France
关键词
epidemiology; migraine; stroke;
D O I
10.1159/000069411
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Two thousand three hundred and eighty-nine patients with first-ever stroke were registered in the population-based Dijon Stroke Registry over an Ii-year period. There was a history of migraine in 49 cases (2%), with a majority of women (2.8% versus 1.1% men) with the following distribution: 27 cases among 1,380 large-artery cerebral infarctions (1.9%), 6 cases among 358 small-artery cerebral infarctions (1.6%), 6 cases among 412 cerebral infarctions due to cardiac embolism (1.4%), 7 cases among 191 cerebral hemorrhages (3.6%) and 3 cases among 47 subarachnoid hemorrhages (6.3%). The male/female ratio was 0.58 for the 49 strokes with a history of migraine versus 1.27 for the 2,340 strokes with no history of migraine. Twelve migraine-induced ischemic strokes occurred with an infarction of the posterior area of the brain in young patients. The annual incidence was 0.80/ 100,000/year (confidence interval, CI = 0.37-1.57) with a predominance of women (1.02/ 100,000/year, CI = 0.52-1.25; men: 0.57/ 100,000/year; CI = 0.28-1.04). We conclude that a history of migraine is more frequent in women, in particular in those with hemorrhagic strokes, and that the incidence of migraine-induced stroke in our population-based study is higher in women, although it remains low.
引用
收藏
页码:85 / 91
页数:7
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