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Migraine, stroke and patent foramen ovale: a dangerous trio?

Abstract

The relationship between migraine, stroke and patent foramen ovale (PFO) has been the subject of considerable research efforts. Indeed, a lot of interest has focused on the potential benefits of percutaneous PFO closure. The aim of this article is to review data from the currently available literature. A total of 10 relevant studies were found in the literature, for a total of 1038 patients undergoing percutaneous PFO closure after events of cryptogenic stroke. Thirty-eight percent of these patients suffered from migraine. Combining the results of the available studies, 72% of patients were cured or improved significantly. Analysing the results according to migraine type, 81% of patients with migraine with aura had complete resolution or significantly improved as compared to 72% of patients with migraine without aura. Several limitations and drawbacks exist, however, and they are extensively discussed in this paper.

Authors+Show Affiliations

Department of Paediatric Cardiology, Policlinico San Donato IRCCS, San Donato Milanese (MI), Italy. gianfrancobutera@libero.itNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

18301138

Citation

Butera, Gianfranco, et al. "Migraine, Stroke and Patent Foramen Ovale: a Dangerous Trio?" Journal of Cardiovascular Medicine (Hagerstown, Md.), vol. 9, no. 3, 2008, pp. 233-8.
Butera G, Agostoni E, Biondi-Zoccai G, et al. Migraine, stroke and patent foramen ovale: a dangerous trio? J Cardiovasc Med (Hagerstown). 2008;9(3):233-8.
Butera, G., Agostoni, E., Biondi-Zoccai, G., Bresolin, N., Fumagalli, L., Chessa, M., ... Carminati, M. (2008). Migraine, stroke and patent foramen ovale: a dangerous trio? Journal of Cardiovascular Medicine (Hagerstown, Md.), 9(3), pp. 233-8. doi:10.2459/JCM.0b013e3282058912.
Butera G, et al. Migraine, Stroke and Patent Foramen Ovale: a Dangerous Trio. J Cardiovasc Med (Hagerstown). 2008;9(3):233-8. PubMed PMID: 18301138.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Migraine, stroke and patent foramen ovale: a dangerous trio? AU - Butera,Gianfranco, AU - Agostoni,Elio, AU - Biondi-Zoccai,Giuseppe, AU - Bresolin,Nereo, AU - Fumagalli,Lorenzo, AU - Chessa,Massimo, AU - Gallanti,Andrea, AU - Scacciatela,Paolo, AU - Carminati,Mario, PY - 2008/2/28/pubmed PY - 2008/5/16/medline PY - 2008/2/28/entrez SP - 233 EP - 8 JF - Journal of cardiovascular medicine (Hagerstown, Md.) JO - J Cardiovasc Med (Hagerstown) VL - 9 IS - 3 N2 - The relationship between migraine, stroke and patent foramen ovale (PFO) has been the subject of considerable research efforts. Indeed, a lot of interest has focused on the potential benefits of percutaneous PFO closure. The aim of this article is to review data from the currently available literature. A total of 10 relevant studies were found in the literature, for a total of 1038 patients undergoing percutaneous PFO closure after events of cryptogenic stroke. Thirty-eight percent of these patients suffered from migraine. Combining the results of the available studies, 72% of patients were cured or improved significantly. Analysing the results according to migraine type, 81% of patients with migraine with aura had complete resolution or significantly improved as compared to 72% of patients with migraine without aura. Several limitations and drawbacks exist, however, and they are extensively discussed in this paper. SN - 1558-2027 UR - https://www.unboundmedicine.com/medline/citation/18301138/Migraine_stroke_and_patent_foramen_ovale:_a_dangerous_trio L2 - http://Insights.ovid.com/pubmed?pmid=18301138 DB - PRIME DP - Unbound Medicine ER -