Arteriovenous Malformations and Migraine: Case Reports and an Analysis of the Relationship

Haas, David C.

doi:10.1111/j.1526-4610.1991.hed3108509.x

Cited by 42 publications

(30 citation statements)

References 6 publications

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“…Several authors have described the association between migraine and the presence of a CAVM [29,30]. In a study by STEELE et al [31], it is suggested that CAVM might play a role in the pathogenesis of migraine in HHT patients.…”

Section: Discussionmentioning

confidence: 99%

Pulmonary arteriovenous malformations associated with migraine with aura

Post

Gent²,

Plokker³

et al. 2009

Eur Respir J

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Migraine with aura (MA) is associated with cardiac right-to-left shunt. We prospectively studied the association between pulmonary arteriovenous malformations (PAVMs) and MA in hereditary haemorrhagic telangiectasia (HHT).All 220 consecutive HHT patients who underwent high-resolution chest computed tomography for PAVM screening were included prospectively. Prior to screening, a structured validated headache questionnaire was completed by 196 patients (57% female; mean¡sd age 44.6¡15.2 yrs). Two neurologists diagnosed migraine according to the International Headache Society Criteria.A PAVM was present in 70 (36%) patients. The prevalence of MA was 24% in the presence of a PAVM compared with 6% in the absence of a PAVM (OR 4.6, 95% CI 1.84-11.2; p50.001), and MA was an independent predictor for the presence of PAVM using multivariate analysis (OR 3.6, 95% CI 1.21-10.5; p50.02). A PAVM was present in 68% of the patients with MA compared with 32% in the non-migraine controls (OR 4.6, 95% CI 1.84-11.2; p50.001), and a PAVM was an independent predictor for MA using multivariate analysis (OR 3.0, 95% CI 1.00-9.20; p50.05).In conclusion, PAVMs are associated with MA in HHT patients.

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Section: Discussionmentioning

confidence: 99%

Pulmonary arteriovenous malformations associated with migraine with aura

Post

Gent²,

Plokker³

et al. 2009

Eur Respir J

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“…Migraine with aura is classically related to cerebral arteriovenous malformations (AVMs). In most of these cases, MA ceasing after the removal of AVM has been documented, consistent with the definition of symptomatic migraine, but there are also sparse reports of cases unchanged after surgery (Has, 1991). The possibility of a causal relation is indirectly supported by the side of aura, being contralateral to the AVMs and the side of headache, being ipsilateral to the AVMs, as well as by the coexistence of MA and arteriovenous shunts in leptomeningeal angiomatosis (Sturge-Weber syndrome) .…”

Section: Symptomatic Migrainementioning

confidence: 78%

Migraine and Ischemic Stroke: A Debated Question

Zotto

Pezzini

Giossi

et al. 2008

J Cereb Blood Flow Metab

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Numerous epidemiologic observations reporting high prevalence of migraine among young individuals with stroke as well as dysfunction of cerebral arteries during migraine attacks prompt speculation on the existence of a comorbidity between the two disorders. The recent finding of silent infarct-like brain lesions in migraineurs reinforced this hypothesis and raised questions on whether migraine may be a progressive disorder rather than simply an episodic disorder. Stroke can occur during the course of migraine attacks with aura, supporting the assumption of a causal relation between the two diseases. Migraine may accentuate other existing risk factors for stroke, and both jointly increase the risk of cerebral ischemia outside of migraine attacks. In this regard, the role of migraine might be that of predisposing condition for cerebral ischemia. Migraine and ischemic stroke may be the end phenotype of common pathogenic mechanisms. Evidence of a migrainestroke relation in cases of specific disorders, such as CADASIL (cerebral autosomal-dominant arteriopathy with subcortical infarcts and leukoencephalopathy) and MELAS (mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke-like episodes), strongly supports this concept. Finally, acute focal cerebral ischemia can trigger migraine attacks, and, thus, migraine may be the consequence of stroke. In this paper, we will review contemporary epidemiologic studies, discuss potential mechanisms of migraine-induced stroke and comorbid ischemic stroke, and pose new research questions.

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“…22) Frequent migraine-like headaches prevent a normal life, so resolution by removal of the occipital AVM is desirable. 3,8,17,20) Frequent migraines or migraine-like headaches should be a factor when considering surgical treatment for occipital AVM, even if the AVM is non-ruptured and/or giant. Middle age is not an indication for more conservative treatment.…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Non-ruptured Giant Occipital Arteriovenous Malformations With Frequent Migraine-Like Headache-Two Case Reports-

Nagata

Morioka

Natori

et al. 2006

Neurol. Med. Chir.(Tokyo)

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Two patients with giant occipital arteriovenous malformation (AVM) underwent microsurgical treatment among 294 patients with intracranial AVM treated between 1981 and 2004. The patients were aged 52 and 65 years and showed common symptoms consisting of long-term frequent migraine-like headaches with visual aura and recent homonymous hemianopia. Common neuroimaging findings were abundant dural feeders plus feeders from the posterior, middle, and anterior cerebral arteries, and deep drainers to the galenic system. Both patients underwent preoperative staged embolization and total microsurgical removal of the nidus with a neuronavigation system. Both patients returned to ordinary life without the need for assistance. These findings emphasize that giant occipital AVM, even if unruptured, is surgically treatable with acceptable morbidity.

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Arteriovenous Malformations and Migraine: Case Reports and an Analysis of the Relationship

Cited by 42 publications

References 6 publications

Pulmonary arteriovenous malformations associated with migraine with aura

Pulmonary arteriovenous malformations associated with migraine with aura

Migraine and Ischemic Stroke: A Debated Question

Surgical Treatment of Non-ruptured Giant Occipital Arteriovenous Malformations With Frequent Migraine-Like Headache-Two Case Reports-

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