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.