ObjectiveWhether migraine modifies after spontaneous cervical artery dissection (sCeAD) more than after other stroke etiologic subtypes has never been adequately investigated.MethodsIn the setting of the Italian Project on Stroke in Young Adults (IPSYS), we compared the course of migraine before and after acute brain infarct in a group of migraine patients with sCeAD and a group of migraine patients whose ischemia was due to a cause other than CeAD (non-CeAD IS), matched by sex, age ( 3 years), and migraine subtype.We applied linear mixed models to evaluate pre-event vs post-event changes and differences between sCeAD and non-CeAD IS patients.ResultsEighty-seven patients per group (migraine without aura/migraine with aura, 67/20) qualified for the analysis. After the acute event, migraine headaches disappeared in 14.0% of CeAD patients vs 0.0% of non-CeAD IS patients (p 0.001). Migraine frequency (patients suffering at least 1 attack, from 93.1 to 80.5%, p = 0.001), pain intensity (from 6.7 +/- 1.7 to 4.6 +/- 2.6 in a 0 to 10 pain scale, p 0.001), and use of acute anti-migraine medications (patients taking at least 1 preparation, from 81.6 to 64.4%, p = 0.007) also improved significantly after CeAD as opposed to that observed after non-CeAD IS.ConclusionThe spontaneous improvement of migraine after sCeAD reinforces the hypothesis of a pathogenic link between the two conditions.
Migraine improvement after spontaneous cervical artery dissection the Italian Project on Stroke in Young Adults (IPSYS) / Null, Null; De Giuli, Valeria; Graziano, Francesca; Zini, Andrea; Zedde, Marialuisa; Patella, Rosalba; Lodigiani, Corrado; Marcheselli, Simona; Delodovici, Maria Luisa; Paciaroni, Maurizio; Casetta, Ilaria; Giorli, Elisa; Adami, Alessandro; Braga, Massimiliano; Casella, Carmela; Giossi, Alessia; Silvestrelli, Giorgio; Tancredi, Lucia; Lotti, Enrico Maria; Poli, Loris; Caria, Filomena; Piras, Valeria; Cucurachi, Laura; Gamba, Massimo; Grassi, Mario; Padovani, Alessandro; Pezzini, Alessandro. - In: NEUROLOGICAL SCIENCES. - ISSN 1590-1874. - 40:1(2018), pp. 59-66. [10.1007/s10072-018-3578-9]
Migraine improvement after spontaneous cervical artery dissection the Italian Project on Stroke in Young Adults (IPSYS)
Zini, Andrea;Cucurachi, Laura;Pezzini, Alessandro
2018-01-01
Abstract
ObjectiveWhether migraine modifies after spontaneous cervical artery dissection (sCeAD) more than after other stroke etiologic subtypes has never been adequately investigated.MethodsIn the setting of the Italian Project on Stroke in Young Adults (IPSYS), we compared the course of migraine before and after acute brain infarct in a group of migraine patients with sCeAD and a group of migraine patients whose ischemia was due to a cause other than CeAD (non-CeAD IS), matched by sex, age ( 3 years), and migraine subtype.We applied linear mixed models to evaluate pre-event vs post-event changes and differences between sCeAD and non-CeAD IS patients.ResultsEighty-seven patients per group (migraine without aura/migraine with aura, 67/20) qualified for the analysis. After the acute event, migraine headaches disappeared in 14.0% of CeAD patients vs 0.0% of non-CeAD IS patients (p 0.001). Migraine frequency (patients suffering at least 1 attack, from 93.1 to 80.5%, p = 0.001), pain intensity (from 6.7 +/- 1.7 to 4.6 +/- 2.6 in a 0 to 10 pain scale, p 0.001), and use of acute anti-migraine medications (patients taking at least 1 preparation, from 81.6 to 64.4%, p = 0.007) also improved significantly after CeAD as opposed to that observed after non-CeAD IS.ConclusionThe spontaneous improvement of migraine after sCeAD reinforces the hypothesis of a pathogenic link between the two conditions.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
