Some Migraines Tied to Artery Tears in Neck

By Kathleen Doheny

HealthDay Reporter

MONDAY, March six, 2017 (HealthDay News) — Some younger adults who endure migraines may possibly be at threat for tears in their neck arteries, which can improve the probabilities of a stroke, a new study suggests.

Precisely what triggers these vessel tears is not clear, the researchers added.

However, study author Dr. Alessandro Pezzini stressed that the probability that migraine sufferers would develop this condition — known as arterial dissection — is nonetheless really low.

“General, migraine is a benign condition in the fantastic majority of affected folks,” mentioned Pezzini, a professor of neurology at the Universita degli Studi di Brescia in Italy.

Of the almost two,500 stroke individuals studied, aged 18 to 45, only 13 % had strokes connected to neck artery tears. This group was far more likely to have higher cholesterol, diabetes or be present smokers.

When the researchers looked closer at the pattern of migraines linked with vessel tears and stroke, they identified that migraine with out aura was far more closely linked to the blood vessel abnormalities.

Aura describes sensory adjustments — such as flashes of light, other vision disturbances or tingling of hands or face — that can take place before or throughout a migraine.

Compared to sufferers who had migraine with aura, these who had migraine with no aura had been 1.7 occasions a lot more probably to have the artery tears. The findings showed that artery tears and strokes have been also much more probably to happen in males and in individuals aged 39 and younger.

The study did have limitations, the researchers mentioned. The investigators did not have info on how frequent or severe the migraines were, or how frequently the auras occurred.

And the study was observational, so “we can not say anything about the existence of a result in-and-impact relationship in between migraine and arterial dissection,” Pezzini stated.

Nor can the researchers clarify the link, but they can speculate. The two issues could have a frequent genetic basis, Pezzini mentioned. Or an underlying abnormality might predispose a individual to both the blood vessel dilemma and the stroke.

The findings have been published on the internet March 6 in the journal JAMA Neurology.


Although previous studies have identified a link between migraines and artery tears, the new findings are stronger since of the big number of folks studied, said Dr. Patrick Lyden, chair of neurology at Cedars-Sinai Healthcare Center in Los Angeles. He wrote an editorial to accompany the study.

The type of tear evaluated in the study is not rare, Lyden mentioned, but it is not common. “The incidence is about five of one hundred,000, roughly half that of numerous sclerosis [sufferers] for comparison.”

No triggering event is ever located for the tears in about half of circumstances, Lyden said. But he added, “the mechanism is typically trauma, such as whiplash, incorrectly applied chiropractic manipulation or a sports-related neck-stretching accident.”

Lyden advises migraine patients to keep away from risky activities. That indicates no chiropractic neck manipulation, he stated.

“If you go to the gym, stay away from profound heavy lifting. Should you endure an accident — such as whiplash or sports-related injury — and you have neck pain, take an aspirin — it really is a mild blood thinner. If you have neurological symptoms that could be a warning of stroke, come to an [emergency area] right away.”

Everyone must be aware of stroke warning signs, Lyden stated. Bear in mind the acronym Fast: face arm speech and time. Any asymmetry of the face, weakness in a single arm or alter in speech (such as slurring or utilizing incorrect words) are trigger for concern.

And time is brain: Make a note of when the symptoms started, Lyden said, and go to a stroke center or get in touch with 9-1-1.

WebMD News from HealthDay


SOURCES: Alessandro  Pezzini, M.D., professor,  neurology, Universita degli Studi di Brescia, Italy Patrick Lyden, M.D., chair, neurology, Cedars-Sinai Health-related Center, Los Angeles March 6, 2017, JAMA Neurology, on the web

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