Doctor insights on:
Is There An Increased Risk Of Stroke For Migraine Sufferers
Is there an increased risk of stroke in subsequent pregnancies or with Mirena (levonorgestrel) IUS use if I developed migraine w aura at 3 weeks post partum?
Mirena (levonorgestrel) and Migraines: As with all medications, there is always risk and caution should be observed with use of any form of birth control. This medication is a synthetic progestin and is accepted as safer than any estrogen containing contraceptive in individuals with migraine with aura; such use of an estrogen containing contraceptive is contraindicated due to high risk of stroke and thromboembolism. ...Read more
With my migraines and my increased risk of stroke.. How can I avoid that?! I'm allergic to Aspirin. Don't smoke or drink.
Yes: Migraine usually first occurs in teens when their estrogen levels are spiking. Many women tend to get more migraines at certain times of their cycle. Menopause may offer relief as estrogen levels go down, but taking estrogen may make migraine worse. However, if a woman has not had migraine before, taking estrogen in menopause is unlike to cause it. Other causes for headaches should be considered. ...Read more
Am I at increased risk of cervical artery dissection with my migraine history and intercranial hypertension?
Likely not: Both migraine and intracranial hypertension have varied causes most of which are not related to dissection of the vertebral or carotid arteries in the neck. dissection is usually related to either trauma in the neck, systemic hypertension or fibromuscular dysplasia of the carotid or vertebral arteries which can by diagnosed by ultrasound or CT angiography. ...Read moreSee 2 more doctor answers
Can be tough: Besides age, migraine in young, stroke in old, evaluate presence or absence of headache, nausea/vomiting, sensitivity to noise/light. However, some migraine pts do get stroke, especially if smokers, or taking female hormones. Most neurologists can detect differences quite readily. ...Read more
Unfortunately yes: The risk of ischemic stroke in migraine with aura (ma) is 2x that of migraine alone. The risk of ma +tobacco+bcp is 10x that of a smoker + bcp. Recent population studies suggest that ma also increases the risk of hemorrhagic stroke. Not all strokes that occur in patients with ma are related to the headache, other etiologies may exist, such as patent foramen ovale and arterial dissection. ...Read moreSee 2 more doctor answers
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