Clinical Evaluation of Patients with Migraine Induced Stroke in Mashhad, Iran

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 2006–2010 enrolled a prospective clinical study. All of the patients suspected to MIS had brain MRI with a 0.5 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 90 days post stroke. RESULTS: 32 MIS patients (18 females, 14 males) with mean age 37.2 ± 3.8 years ranged 15–58 years were evaluated. Hypodense area of infarction corresponding to clinical manifestations was detected in MRI in 32% of our MIS patients. The mean disability score in our MIS patients was 1.09 ± 0.32, which is significantly lower than other stroke patients (z = 2.55, P = 0.007) CONCLUSION: MIS is an important cause of stroke in Persian young adults which have good prognosis.