CLINICAL EVALUATION OF PATIENTS WITH MIGRAINE INDUCED STROKE IN MASHHAD, IRAN

Abstract    BACKGROUND: Migraine Induced Stroke (MIS) is an important cause of brain infarction in the young people.    METHODS: Consecutive patients with MIS admitted in Ghaem hospital, Mashhad during ۲۰۰۶-۲۰۱۰ enrolled a prospective clinical study. All of the patients suspected to MIS had brain MRI with a ۰.۵ Tesla generation, Philips NT Intra, Netherland. All of the MIS patients underwent a standard battery of diagnostic investigations for detecting etiology of stroke. Disability of MIS patients was detected based on the modified Rankin scale at ۹۰ days post stroke.    RESULTS: ۳۲ MIS patients (۱۸ females, ۱۴ males) with mean age ۳۷.۲ ± ۳.۸ years ranged ۱۵-۵۸ years were evaluated. Hypodense area of infarction corresponding to clinical manifestations was detected in MRI in ۳۲% of our MIS patients. The mean disability score in our MIS patients was ۱.۰۹ ± ۰.۳۲, which is significantly lower than other stroke patients (z = ۲.۵۵, P = ۰.۰۰۷)     CONCLUSION: MIS is an important cause of stroke in Persian young adults which have good prognosis.       Keywords: Migraine, Stroke, Migraine Induced Stroke