Migraine and stroke: management

Evidence-based neurology checklist on migraine and stroke: management: Magnetic resonance imaging (MRI) brain The index vein sign distinguishes migraine aura from stroke The vein may also appear as marked hypointensity of the vein (cortical vein sign) Prevention of stroke in migraine Indications…

Magnetic resonance imaging (MRI) brain

  • The index vein sign distinguishes migraine aura from stroke
  • The vein may also appear as marked hypointensity of the vein (cortical vein sign)

Prevention of stroke in migraine

Indications for caution with betablockers

Contraindications for Triptans

References

  1. Bushnell CD. Migraine and risk of ischaemic stroke: an evidence-based medicine review. JCOM 2001; 8:33-39.
  2. Scutelnic A, Petroulia V, Schraml L, et al. The "index vein" as a sign for migraine aura in the emergency setting. Cephalalgia 2023; 43:3331024221132010.
  3. Slavova N, Denier N, El-Koussy M, et al. The index vein pointing to the origin of the migraine aura symptom: a case series. Neurology 2020; 94:e2577-e2580.
  4. Hirtz C, Adam G, Raposo N, et al. Diagnostic utility of T2*-weighted GRE in migraine with aura attack. The cortical veins sign. Cephalalgia 2022; 42:730-738.
  5. Spalice A, Del Balzo F, Papetti L, et al. Stroke and migraine is there a possible comorbidity? Ital J Pediatr 2016; 42:41.
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