Open Access

Comorbid neuropathologies in migraine

The Journal of Headache and Pain20067:300

DOI: 10.1007/s10194-006-0300-8

Received: 20 April 2006

Accepted: 16 May 2006

Published: 15 June 2006

Abstract

The identification of comorbid disorders in migraineurs is important since it may impose therapeutic challenges and limit treatment options. Moreover, the study of comorbidity might lead to improve our knowledge about causes and consequences of migraine. Comorbid neuropathologies in migraine may involve mood disorders (depression, mania, anxiety, panic attacks), epilepsy, essential tremor, stroke, and white matter abnormalities. Particularly, a complex bidirectional relation exists between migraine and stroke, including migraine as a risk factor for cerebral ischemia, migraine caused by cerebral ischemia, migraine as a cause of stroke, migraine mimicking cerebral ischemia, migraine and cerebral ischemia sharing a common cause, and migraine associated with subclinical vascular brain lesions.

Key words

Migraine Depression Epilepsy Tremor Stroke White matter lesions Patent foramen ovale