Patent foramen ovale and migraine

被引:33
作者
Diener H.-C. [1 ]
Kurth T. [1 ]
Dodick D. [1 ]
机构
[1] Department of Neurology, University Duisburg-Essen, 45122 Essen
关键词
Migraine; Atrial Septal Defect; Migraine Attack; Migraine Headache; Migraine With Aura;
D O I
10.1007/s11916-007-0196-2
中图分类号
学科分类号
摘要
Results from several observational studies indicate an association between migraine and patent foramen ovale (PFO). Several biological mechanisms have been proposed to explain this link, including shared genetic inheritance. However, there is currently insufficient evidence to support a causal link between PFO and migraine. Although the results of uncontrolled observational studies suggest the PFO closure may have a beneficial effect on migraine frequency, a large randomized trial failed to support such a conclusion. Until there is more evidence from ongoing large controlled trials, PFO closure should not be performed in clinical practice for the prophylaxis of migraine. Copyright © 2007 by Current Medicine Group LLC.
引用
收藏
页码:236 / 240
页数:4
相关论文
共 35 条
[1]  
Del Sette M., Angeli S., Leandri M., Et al., Migraine with aura and right-to-left shunt on transcranial Doppler: A case-control study, Cerebrovasc Dis, 8, pp. 327-330, (1998)
[2]  
Anzola G.P., Magoni M., Guindani M., Et al., Potential source of cerebral embolism in migraine with aura: A transcranial Doppler study, Neurology, 52, pp. 1622-1625, (1999)
[3]  
Dalla Volta G., Guindani M., Zavarise P., Et al., Prevalence of patent foramen ovale in a large series of patients with migraine with aura, migraine without aura and cluster headache, and relationship with clinical phenotype, J Headache Pain, 6, pp. 328-330, (2005)
[4]  
Schwerzmann M., Nedeltchev K., Lagger F., Et al., Prevalence and size of directly detected parent foramen ovale in migraine with aura, Neurology, 65, pp. 1415-1418, (2005)
[5]  
Carod-Artal F.J., da Silveira Ribeiro L., Braga H., Et al., Prevalence of patent foramen ovale in migraine patients with and without aura compared with stroke patients. A transcranial Doppler study, Cephalalgia, 26, pp. 934-939, (2006)
[6]  
Wammes-van der Heijden E.A., Rahimtoola H., Leufkens H.G., Et al., Risk of ischemic complications related to the intensity of triptan and ergotamine use, Neurology, 67, pp. 1128-1134, (2006)
[7]  
Schwedt T.J., Dodick D.W., Patent foramen ovale and migraine--bringing closure to the subject, Headache, 46, pp. 663-671, (2006)
[8]  
Bousser M.G., Patent foramen ovale and migraine: Evidence for a link?, Headache Currents, 3, pp. 44-51, (2006)
[9]  
Wilmshurst P.T., Pearson M.J., Nightingale S., Et al., Inheritance of persistent foramen ovale and atrial septal defects and the relation to familial migraine with aura, Heart, 90, pp. 1315-1320, (2004)
[10]  
Moussouttas M., Fayad P., Rosenblatt M., Et al., Pulmonary arteriovenous malformations: Cerebral ischemia and neurologic manifestations, Neurology, 55, pp. 959-964, (2000)