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In women of childbearing age, migraine significantly increases the risk
of ischaemic but not haemorrhagic stroke. This finding comes from a
large European hospital based case-control study of women aged 20 to
44, in whom both simple and classical migraine were associated with
about a threefold increase in risk of ischaemic stroke (p 13). Chang
et al found that use of oral contraceptives, high blood pressure, and
smoking all had a greater than multiplicative effect on the risk of
ischaemic stroke associated with migraine. In migrainous women, 20% to
40% of strokes developed directly from a migraine attack
so called
migrainous strokes.
What can you learn from this BMJ paper? Read Leanne Tite's Paper+