Circle of Willis variations in migraine patients with ischemic stroke.
circle of Willis
computed tomography
humans
migraine
neuroimaging
strokes
Journal
Brain and behavior
ISSN: 2162-3279
Titre abrégé: Brain Behav
Pays: United States
ID NLM: 101570837
Informations de publication
Date de publication:
03 2019
03 2019
Historique:
received:
25
02
2018
revised:
18
12
2018
accepted:
22
12
2018
pubmed:
18
2
2019
medline:
26
11
2019
entrez:
18
2
2019
Statut:
ppublish
Résumé
Migraine is a risk factor for stroke, which might be explained by a higher prevalence in anatomical variants in the circle of Willis (CoW). Here, we compared the presence of CoW variants in patients with stroke with and without migraine. Participants were recruited from the prospective Dutch acute Stroke Study. All participants underwent CT angiography on admission. Lifetime migraine history was assessed with a screening questionnaire and confirmed by an interview based on International Classification of Headache Disorders criteria. The CoW was assessed for incompleteness/hypoplasia (any segment <1 mm), for anterior cerebral artery asymmetry (difference > 1/3), and for posterior communicating artery (Pcom) dominance (Pcom-P1 difference > 1/3). Odds ratios with adjustments for age and sex (aOR) were calculated with logistic regression. We included 646 participants with stroke, of whom 52 had a history of migraine. Of these, 45 (87%) had an incomplete or hypoplastic CoW versus 506 (85%) of the 594 participants without migraine (aOR: 1.47; 95% CI: 0.63-3.44). There were no differences between participants with and without migraine in variations of the anterior or posterior CoW, anterior cerebral artery asymmetry (aOR: 0.86; 95% CI: 0.43-1.74), or Pcom dominance (aOR: 0.64; 95% CI: 0.32-1.30). There were no differences in CoW variations between migraine patients with or without aura. We found no significant difference in the completeness of the CoW in acute stroke patients with migraine compared to those without.
Identifiants
pubmed: 30772952
doi: 10.1002/brb3.1223
pmc: PMC6422794
doi:
Banques de données
GENBANK
['NCT00880113']
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e01223Informations de copyright
© 2019 The Authors. Brain and Behavior published by Wiley Periodicals, Inc.
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