Association between blood coagulability and migraine

Abstract Background An association between migraine and stroke has been suggested for a long period, although conclusive evidence has not been reported. Several theories about hypercoagulability have been proposed for the association of ischemic stroke and migraine especially migraine with aura. Thi...

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Main Authors: Ebtesam Mohamed Fahmy, Mona Salah Eldin Hamdy, Reem Medhat Mahmoud, Haidy Elshebawy
Format: Article
Language:English
Published: SpringerOpen 2022-01-01
Series:The Egyptian Journal of Neurology, Psychiatry and Neurosurgery
Subjects:
Online Access:https://doi.org/10.1186/s41983-021-00430-0
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author Ebtesam Mohamed Fahmy
Mona Salah Eldin Hamdy
Reem Medhat Mahmoud
Haidy Elshebawy
author_facet Ebtesam Mohamed Fahmy
Mona Salah Eldin Hamdy
Reem Medhat Mahmoud
Haidy Elshebawy
author_sort Ebtesam Mohamed Fahmy
collection DOAJ
description Abstract Background An association between migraine and stroke has been suggested for a long period, although conclusive evidence has not been reported. Several theories about hypercoagulability have been proposed for the association of ischemic stroke and migraine especially migraine with aura. This study aimed to assess blood coagulability in patients with migraine. Results Mean serum levels of protein S and anti-thrombin III were significantly lower in migraine patients compared to control subjects. Migraine patients showed abnormal MRI findings in the form of white matter hyper-intense lesions and ischemic foci compared to healthy controls. A significant negative correlation was detected between serum protein C level and intensity of migraine headache. Also, a significant correlation was found between deficient serum protein S and abnormal findings in brain MRI. Serum protein C deficiency is an independent predictor for migraine intensity grade. Conclusions There is an association between migraine and hypercoagulability, which may indicate increased risk of cerebral ischemic events in migraine patients and suggest adding prophylactic therapy to the management strategies of such patients.
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spelling doaj.art-89dda4909b544bf382eed181f7be06f12022-12-22T04:04:03ZengSpringerOpenThe Egyptian Journal of Neurology, Psychiatry and Neurosurgery1687-83292022-01-015811710.1186/s41983-021-00430-0Association between blood coagulability and migraineEbtesam Mohamed Fahmy0Mona Salah Eldin Hamdy1Reem Medhat Mahmoud2Haidy Elshebawy3Neurology Department, Faculty of Medicine, Cairo UniversityClinical Pathology Department, Faculty of Medicine, Cairo UniversityNeurology Department, Faculty of Medicine, Cairo UniversityNeurology Department, Faculty of Medicine, Cairo UniversityAbstract Background An association between migraine and stroke has been suggested for a long period, although conclusive evidence has not been reported. Several theories about hypercoagulability have been proposed for the association of ischemic stroke and migraine especially migraine with aura. This study aimed to assess blood coagulability in patients with migraine. Results Mean serum levels of protein S and anti-thrombin III were significantly lower in migraine patients compared to control subjects. Migraine patients showed abnormal MRI findings in the form of white matter hyper-intense lesions and ischemic foci compared to healthy controls. A significant negative correlation was detected between serum protein C level and intensity of migraine headache. Also, a significant correlation was found between deficient serum protein S and abnormal findings in brain MRI. Serum protein C deficiency is an independent predictor for migraine intensity grade. Conclusions There is an association between migraine and hypercoagulability, which may indicate increased risk of cerebral ischemic events in migraine patients and suggest adding prophylactic therapy to the management strategies of such patients.https://doi.org/10.1186/s41983-021-00430-0MigraineHypercoagulabilityProtein CProtein SAnti-thrombin III
spellingShingle Ebtesam Mohamed Fahmy
Mona Salah Eldin Hamdy
Reem Medhat Mahmoud
Haidy Elshebawy
Association between blood coagulability and migraine
The Egyptian Journal of Neurology, Psychiatry and Neurosurgery
Migraine
Hypercoagulability
Protein C
Protein S
Anti-thrombin III
title Association between blood coagulability and migraine
title_full Association between blood coagulability and migraine
title_fullStr Association between blood coagulability and migraine
title_full_unstemmed Association between blood coagulability and migraine
title_short Association between blood coagulability and migraine
title_sort association between blood coagulability and migraine
topic Migraine
Hypercoagulability
Protein C
Protein S
Anti-thrombin III
url https://doi.org/10.1186/s41983-021-00430-0
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